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Individual
JOHN RAY MARTINEZ
Active
Individual
JOHN RAY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R2G43
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130736001
—
AR
01
—
175334
BLUE CROSS MISSOURI
MO
05
—
207953324
—
MO
01
—
293593
HEALTHLINK
MO
01
—
390008665
RAILROAD MEDICARE
MO
Enumeration date
07/05/2006
Last updated
10/17/2019
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