Richard Eugene Martin MD

NPI 1619046323 - Internal Medicine - 207R00000X

NPI Details
NPI 1619046323
Gender Male
Enumeration Date 11/07/2006
Last Updated 09/09/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
122 N BAILEY ST
PRYOR OK, 74361-4202, US
Phone (918) 825-0216
Fax (918) 824-1919
Business Location
122 N BAILEY ST
PRYOR OK, 74361-4202, US
Phone (918) 825-0216
Fax (918) 824-1919
Toxanomy
Taxonomy Code 207R00000X
License State Oklahoma
License Number 10200
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According to our database, Richard Eugene Martin MD NPI is 1619046323, taxonomy code is 207R00000X and license number is 10200, license state is located at Oklahoma. Richard Eugene Martin MD physically located at 122 N Bailey St, Pryor OK, 74361-4202. NPI Number Richard Eugene Martin MD has the Individual type.

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1619046323 NPI number is provided on an as is basis without warranty of any kind. 1619046323 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Eugene Martin MD are for informational purposes only.