Andrew R Martine in Saint Louis - Diagnostic Radiology

Andrew R Martine - NPI 1679573927

Andrew R Martine is a Diagnostic Radiology in Saint Louis, Missouri. Andrew R Martine practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Andrew R Martine is 1679573927. The last update date is 2009-09-08.

Andrew R Martine's current location address is 11475 Olde Cabin Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149918200 and fax number 3149918206. The mailing address for Andrew R Martine is 11475 Olde Cabin Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew R Martine
Address 11475 Olde Cabin Rd, Saint Louis, Missouri
Phone Number 3149918200
Fax Number 3149918206
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1679573927
Provider Enumeration Date 2005-07-28
Last Updated Date 2009-09-08

Provider Mailing Address Detail

Address 11475 Olde Cabin Rd
City Saint Louis
State Missouri (MO)
Post Code 631417128
Phone Number 3149918200
Fax Number 3149918206

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 2001021768
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
207235409 MO --

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FAQs about Andrew R Martine

What is the unique provider identifier assigned to Andrew R Martine?

The Andrew R Martine has been issued the NPI (National Provider Identifier) 1679573927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Andrew R Martine's facilities are situated?

The facilities of Andrew R Martine are physically located at the following address: 11475 Olde Cabin Rd, Saint Louis, MO, 631417128.

What is Andrew R Martine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Andrew R Martine is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1679573927 to Andrew R Martine?

The Centers for Medicare & Medicaid Services assigned the 1679573927 to Andrew R Martine on 2005-07-28.

When was the information related to Andrew R Martine most recently updated or refreshed?

The details pertaining to the Andrew R Martine, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-08.

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