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Individual

EDWARD J MARTIN III

Active
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Individual

EDWARD J MARTIN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
018796
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922099
LA
Enumeration date
06/23/2006
Last updated
06/02/2016
About Stedi
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  • EDI platform