Individual
DR. ZACHARY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-4411
Mailing address
PO BOX 7891, EDMOND, OK 73083-7891
(405) 919-5306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14328
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
14328
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113090A
—
OK
Enumeration date
05/02/2006
Last updated
07/06/2010
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