Individual
DR. AMANDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5320 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2098
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29756
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2010
Last updated
04/18/2026
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