Individual
GARY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 W OKMULGEE ST, MUSKOGEE, OK 74401-6839
(918) 682-9292
(918) 682-0054
Mailing address
814 W OKMULGEE ST, MUSKOGEE, OK 74401-6839
(918) 682-9292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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