Individual provider · Type 1 NPI

Martin Maytubby Sr.

Substance Abuse Rehabilitation Facility · Ardmore, OK

NPI number 1083923213 Active

About NPI 1083923213

Martin Maytubby Sr.'s National Provider Identifier is 1083923213, issued on Oct 5, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Ardmore, OK. The record was last updated on Oct 14, 2011.