Individual
EDWARD T MARTIN
Active
Individual
EDWARD T MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20675
OK
207RC0000X
Cardiovascular Disease Physician
Primary
20675
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060049596
MEDICARE RAILROAD
OK
05
—
100028120A
—
OK
01
—
OK700124
MEDICARE PTAN
OK
01
—
P00613404
MEDICARE RAILROAD
OK
Enumeration date
01/24/2006
Last updated
09/15/2016
Update your record
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