Individual
DR. ROYCE GREGORY MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
207 E TALIAFERRO ST, MADILL, OK 73446-3410
(580) 677-9500
(580) 677-9505
Mailing address
207 E TALIAFERRO ST, MADILL, OK 73446-3410
(580) 677-9500
(580) 677-9505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2179
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080016807
RAILROAD MEDICARE
OK
05
—
100123700C
—
OK
Enumeration date
08/11/2005
Last updated
11/11/2009
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