NPI 1083923213
Martin Maytubby
Practice location
- Address
- 9 10th Ave NW, Ardmore, OK 73401-5929
- Phone
- (580) 226-1656
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1083923213
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Oct 2010
- Record last updated
- 14 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.