Individual
RICHARD EUGENE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 N BAILEY ST, PRYOR, OK 74361-4202
(918) 825-0216
(918) 824-1919
Mailing address
122 N BAILEY ST, PRYOR, OK 74361-4202
(918) 825-0216
(918) 824-1919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10200
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117000A
—
OK
Enumeration date
11/07/2006
Last updated
08/25/2025
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