# DR. RICHARD L. MARTIN JR L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184833386
- **Authorized official:** MRS. DEBORAH LYNN MARTIN RN (OFFICE MANAGER)
- **Authorized official phone:** (740) 695-4410

## Contact information

- **Practice address:** 107 PLAZA DR, STE S, SAINT CLAIRSVILLE, OH 43950-8786
- **Practice address phone:** (740) 695-4410
- **Practice address fax:** (740) 695-5440
- **Mailing address:** 107 PLAZA DR, STE S, SAINT CLAIRSVILLE, OH 43950-8786
- **Mailing address phone:** (740) 695-4410
- **Mailing address fax:** (740) 695-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003308M | OH | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 10/31/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2338992 | — | OH |
