# ROBERT E MARTIN, MD APC

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

## Provider details

- **NPI number:** 1396991907
- **Authorized official:** ROBERT EDWARD MARTIN M.D. (PRESIDENT)
- **Authorized official phone:** (907) 376-5284

## Contact information

- **Practice address:** 501 N KNIK ST, WASILLA, AK 99654-7050
- **Practice address phone:** (907) 376-5284
- **Practice address fax:** (907) 373-2464
- **Mailing address:** 501 N KNIK ST, WASILLA, AK 99654-7050
- **Mailing address phone:** (907) 376-5284
- **Mailing address fax:** (907) 373-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1479 | AK | Yes |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 08/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MD1479 | — | AK |