Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 2009-01490 | NC |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | A102864 | CA |
Y | 2081P2900X | Pain Medicine | 30288 | OK |
NPI | 1376727289 |
---|---|
Provider Name | Dr. Christopher R. Martin |
First Address | Tulsa, OK 74146-5822 |
Second Address | Tulsa, OK 74146-5826 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 31/10/2013 |