Richard Eugene Martin in Pryor - Internal Medicine

Richard Eugene Martin - NPI 1619046323

Richard Eugene Martin is a Internal Medicine in Pryor, Oklahoma. Richard Eugene Martin practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard Eugene Martin is 1619046323. The last update date is 2011-09-09.

Richard Eugene Martin's current location address is 122 N Bailey St, Pryor, Oklahoma. You can contact this provider via phone number 9188250216 and fax number 9188241919. The mailing address for Richard Eugene Martin is 122 N Bailey St, Pryor, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Eugene Martin
Address 122 N Bailey St, Pryor, Oklahoma
Phone Number 9188250216
Fax Number 9188241919
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1619046323
Provider Enumeration Date 2006-11-07
Last Updated Date 2011-09-09

Provider Mailing Address Detail

Address 122 N Bailey St
City Pryor
State Oklahoma (OK)
Post Code 743614202
Phone Number 9188250216
Fax Number 9188241919

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 10200
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
736161923 CHAMPUS
100117000A OK --
112120546 RAILROAD MEDICARE
736161923001 BC BS

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FAQs about Richard Eugene Martin

What is the unique 10-digit identifier code assigned to Richard Eugene Martin by the Centers for Medicare & Medicaid Services?

The Richard Eugene Martin has been issued the NPI (National Provider Identifier) 1619046323 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Richard Eugene Martin?

The Richard Eugene Martin is physically situated at 122 N Bailey St, in the city of Pryor, state of OK, with the postal code 743614202.

What is the Richard Eugene Martin's specialty and taxonomy code?

The Richard Eugene Martin's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

When did Richard Eugene Martin receive its 1619046323 assignment?

The Richard Eugene Martin was assigned its 1619046323 on 2006-11-07, which is the date when this unique identifier was issued to the organization.

When was the information regarding Richard Eugene Martin most recently updated?

The details pertaining to the Richard Eugene Martin, including its address, specialty, and other relevant information, were last refreshed on 2011-09-09.

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