Marty K Sanner Md Pc

LBN: Marty K Sanner Md Pc
Marty K Sanner Md Pc is an health care organization with primary practice located at 4202 Sw Lee Blvd Bldg A Suite 104, Lawton OK 73505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Marty K Sanner Md Pc can be contacted via phone (580) 353-7777, or through Sanner, Marty K via phone (580) 353-7777.

Contact Information

Primary practice address
4202 Sw Lee Blvd Bldg A Suite 104 Lawton OK 73505
Phone: (580) 353-7777
Fax: (580) 248-8313
Website:
Map and Directions
Authorized official contact:
Name: Sanner, Marty K Doctor of Medicine (MD)
Phone: (580) 353-7777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18448 Oklahoma

Profile Details

NPI number 1679758866
LBN Legal business name Marty K Sanner Md Pc
DBA Doing business as
Authorized official Sanner, Marty K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2008
Last updated Aug 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679758866 NPPES
Oklahoma MEDICAID 100101130D

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