Individual
MR. DAVID C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 E 19TH ST, STE 602, TULSA, OK 74104-5437
(918) 748-7677
(918) 748-7606
Mailing address
1725 E 19TH ST, STE 602, TULSA, OK 74104-5437
(918) 748-7677
(918) 748-7606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14327
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730536372059
BCBS
OK
01
—
731412934
COMMERCIAL
OK
Enumeration date
09/27/2006
Last updated
05/12/2014
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