| Marty K Sanner Md | |
|
4202 Sw Lee Blvd Bldg A Ste 104 Lawton OK 73505-8300 | |
| (580) 357-9984 | |
| (580) 357-3277 |
| Full Name | Marty K Sanner Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 4202 Sw Lee Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Brent Smith (CFO) |
| Authorized Official Contact | 5803558620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marty K Sanner Md Po Box 785 Lawton OK 73502-0785 Ph: (580) 357-9984 | Marty K Sanner Md 4202 Sw Lee Blvd Bldg A Ste 104 Lawton OK 73505-8300 Ph: (580) 357-9984 |
| NPI Number | 1164800348 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164800348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18448 (Oklahoma) | Primary |
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