Individual provider · Type 1 NPI

Tanner Martin

Physician Assistant · Lawton, OK

NPI number 1285452540 Active

Practice location

110 NW 31st St Ste 201
Lawton, OK 73505-6100

Call (580) 585-5549 Map

Fax (580) 699-8223

Mailing address

8005 NW Norwick Ave
Lawton, OK 73505-4033

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5674 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285452540

Tanner Martin's National Provider Identifier is 1285452540, issued on Sep 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lawton, OK. The record was last updated on Jan 8, 2026.