Individual
DR. MARTY KELLY SANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4202 SW LEE BLVD, STE 104, LAWTON, OK 73505-8300
(580) 353-7777
(580) 248-8313
Mailing address
4202 SW LEE BLVD, STE 104, LAWTON, OK 73505-8300
(580) 353-7777
(580) 248-8313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18448
OK
Other
Enumeration date
09/02/2005
Last updated
08/28/2008
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