Tracy B Martin in Los Alamos - Adult Medicine
Tracy B Martin - NPI 1952460057
Tracy B Martin is a Adult Medicine in Los Alamos, New Mexico. Tracy B Martin practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Tracy B Martin is 1952460057. The last update date is 2022-10-11.
Tracy B Martin's current location address is 3500 Trinity Dr Ste C3, Los Alamos, New Mexico. You can contact this provider via phone number 5055008213 and fax number 5053918935. The mailing address for Tracy B Martin is 3500 Trinity Dr Ste C3, Los Alamos, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy B Martin |
|---|---|
| Address | 3500 Trinity Dr Ste C3, Los Alamos, New Mexico |
| Phone Number | 5055008213 |
| Fax Number | 5053918935 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1952460057 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2022-10-11 |
Provider Mailing Address Detail
| Address | 3500 Trinity Dr Ste C3 |
|---|---|
| City | Los Alamos |
| State | New Mexico (NM) |
| Post Code | 875442221 |
| Phone Number | 5055008213 |
| Fax Number | 5053918935 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 99PA28 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000N1651 | NM | -- | |
| 10029201 | LOVELACE | ||
| QMP000003399104 | MOLINA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tracy B Martin by the Centers for Medicare & Medicaid Services?
The Tracy B Martin has been issued the NPI (National Provider Identifier) 1952460057, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tracy B Martin's facilities are situated?
The facilities of Tracy B Martin are physically located at the following address: 3500 Trinity Dr Ste C3, Los Alamos, NM, 875442221.
What is the Tracy B Martin's specialty and taxonomy code?
The Tracy B Martin's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did the Tracy B Martin receive the assignment of its 1952460057 from the Centers for Medicare & Medicaid Services?
The Tracy B Martin was issued its 1952460057 by the Centers for Medicare & Medicaid Services on 2006-12-06.
As of what date was the information pertaining to Tracy B Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracy B Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-10-11.
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