Individual
MARTIN T REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05-41859
KS
207X00000X
Orthopaedic Surgery Physician
4135
OK
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
4135
OK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4135
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200025140A
—
OK
05
—
30004007080002
—
KS
Enumeration date
06/27/2005
Last updated
03/10/2026
Update your record
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