MEDICARE: MARTHA M TARPAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	10144	OK

General Provider Information

NPI Number	:	1306808928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA M TARPAY MD

Provider Business Mailing Address
First Line	:	4200 W MEMORIAL RD
Second Line	:	SUITE 206
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-9350
Country	:	US
Telephone Number	:	405-752-0393
Fax Number	:	405-752-4242

Provider Business Practice Location Address
First Line	:	4200 W MEMORIAL RD
Second Line	:	SUITE 206
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-9350
Country	:	US
Telephone Number	:	405-752-0393
Fax Number	:	405-752-4242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	10/14/2011

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