Doctor Name: | MARY WADE MARTIN |
NPI Number: | 1245244359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 23664 |
Business Practice Address: | 2610 Nw Expressway Ste B Oklahoma City, OK - 731127277 |
Business Phone Number: | 4053076668 |
Business Fax Number: | 4057016170 |
Mailing Address: | Po Box 1330, NORMAN |
State: | OK |
Postal Code: | 730701330 |
Phone Number: | 4053076668 |
Fax Number: | 4057016170 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 23664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |