Martucci, Martin Leo

Martucci, Martin Leo is an individual health care provider with primary practice located at 10810 E 45Th St Ste 400 , Tulsa OK 74146-3806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Martucci, Martin Leo can be contacted via phone (918) 742-7030.

Contact Information

Primary practice address
10810 E 45Th St Ste 400 Tulsa OK 74146-3806
Phone: (918) 742-7030
Fax: (918) 742-9958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 23167 Oklahoma

Profile Details

NPI number 1962405035
LBN Legal business name Martucci, Martin Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962405035 NPPES
Oklahoma MEDICAID 200004950A

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