Gregory Lee Martindill in Champaign - Physician Assistant
Gregory Lee Martindill - NPI 1609860782
Gregory Lee Martindill is a Physician Assistant in Champaign, Illinois. Gregory Lee Martindill practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory Lee Martindill is 1609860782. The last update date is 2022-01-05.
Gregory Lee Martindill's current location address is 101 W University Ave, Champaign, Illinois. You can contact this provider via phone number 2173666162. The mailing address for Gregory Lee Martindill is 101 W University Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Lee Martindill |
|---|---|
| Address | 101 W University Ave, Champaign, Illinois |
| Phone Number | 2173666162 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1609860782 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2022-01-05 |
Provider Mailing Address Detail
| Address | 101 W University Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618203909 |
| Phone Number | 2173666162 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85000525 |
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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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Post Comment/ Review Below
Could you provide the complete address where Gregory Lee Martindill is physically located?
The Gregory Lee Martindill is situated at the following address: 101 W University Ave, Champaign, IL 618203909.
What is Gregory Lee Martindill's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory Lee Martindill is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1609860782 assigned to Gregory Lee Martindill?
The Gregory Lee Martindill was issued its 1609860782 on 2005-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Gregory Lee Martindill receive the assignment of its 1609860782 from the Centers for Medicare & Medicaid Services?
The Gregory Lee Martindill was issued its 1609860782 by the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date was the information pertaining to Gregory Lee Martindill, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory Lee Martindill, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-01-05.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH