| Dean E. Martin, M.d. | |
|
2121 S Columbia Ave Suite 301 Tulsa OK 74114-3505 | |
| (918) 749-2463 | |
| (918) 749-2838 |
| Full Name | Dean E. Martin, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2121 S Columbia Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Dean Erwin Martin (PRESIDENT) |
| Authorized Official Contact | 9187492463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean E. Martin, M.d. 2121 S. Columbia Ave. Suite 301 Tulsa OK 74114-3517 Ph: (918) 749-2463 | Dean E. Martin, M.d. 2121 S Columbia Ave Suite 301 Tulsa OK 74114-3505 Ph: (918) 749-2463 |
| NPI Number | 1346342664 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346342664 | NPI | - | NPPES |
| 446545683-003 | Other | OK | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 13789 (Oklahoma) | Primary |
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