Individual
MR. SCOTT WILLIAM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1925 NW 142ND ST, OKLAHOMA CITY, OK 73134-6193
(405) 492-7637
Mailing address
7600 SCARLET CIR, EDMOND, OK 73025-1615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5890
OK
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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