Marie B Martin in Medicine Bow - Physician Assistant
Marie B Martin - NPI 1790705515
Marie B Martin is a Physician Assistant in Medicine Bow, . Marie B Martin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marie B Martin is 1790705515. The last update date is 2007-07-08.
Marie B Martin's current location address is 514 Idaho Drive, Medicine Bow, . You can contact this provider via phone number 3073792222 and fax number 3072792223. The mailing address for Marie B Martin is 514 Idaho Drive, Medicine Bow, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie B Martin |
|---|---|
| Address | 514 Idaho Drive, Medicine Bow, |
| Phone Number | 3073792222 |
| Fax Number | 3072792223 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1790705515 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 514 Idaho Drive |
|---|---|
| City | Medicine Bow |
| State | (WY) |
| Post Code | 823290037 |
| Phone Number | 3073792222 |
| Fax Number | 3072792223 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 169 |
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Definition: 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 perfor |
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What is the unique 10-digit identification code assigned to Marie B Martin by the Centers for Medicare & Medicaid Services?
The Marie B Martin has been issued the NPI (National Provider Identifier) 1790705515, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marie B Martin?
The Marie B Martin is situated at 514 Idaho Drive, in the city of Medicine Bow, state of WY, with the zip code 823290037.
What is Marie B Martin's area of expertise and its corresponding taxonomy classification?
The Marie B Martin's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Marie B Martin's 1790705515 issued?
The Marie B Martin's 1790705515 was issued on 2006-07-21.
When was the Marie B Martin's information last updated?
The Marie B Martin's information was last updated on 2007-07-08.