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Individual
PROF. WAYNE ROBERT MARTIN
Active
Individual
PROF. WAYNE ROBERT MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42227
AZ
207Q00000X
Family Medicine Physician
Primary
7466
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8V4761
BCBS
TX
Enumeration date
06/08/2006
Last updated
10/31/2023
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