Organization
MARTIN CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MARTIN MD (OWNER/SOLE MEMBER)
(918) 825-0216
Entity
Organization
Contact information
Practice address
122 N BAILEY ST, PRYOR, OK 74361-4202
(918) 825-0216
(918) 824-1919
Mailing address
122 N BAILEY ST, PRYOR, OK 74361-4202
(918) 825-0216
(918) 824-1919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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