Individual
MARTIN J SMOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
PO BOX 2309 SECTION 4, LAWTON, OK 73502
(800) 627-4726
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15705
OK
207L00000X
Anesthesiology Physician
38195
IA
207L00000X
Anesthesiology Physician
R5J51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33306
CDS
MO
Enumeration date
05/10/2006
Last updated
03/07/2023
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