Individual provider · Type 1 NPI

Vince Russell Martin, P.A.

Medical Physician Assistant · Sallisaw, OK

NPI number 1942329636 Active

Practice location

700 W Cherokee Ave
Sallisaw, OK 74955-4216

Fax (918) 775-8910

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1514 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1942329636

Vince Russell Martin, P.A.'s National Provider Identifier is 1942329636, issued on Mar 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sallisaw, OK. The record was last updated on Mar 7, 2023.