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Individual
DR. PATRICIA A MARTIN
Active
Individual
DR. PATRICIA A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0425807
KS
207L00000X
Anesthesiology Physician
109241
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050063975
MO RR MEDICARE NUMBER
MO
01
—
050070663
KS RR MEDICARE NUMBER
KS
05
—
100182470D
—
KS
05
—
208107508
—
MO
01
—
22194015
MO BCBS NUMBER
MO
01
—
22194045
KS BCBS NUMBER
KS
Enumeration date
05/05/2006
Last updated
02/07/2014
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