# MARTIN MD

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

## Provider details

- **NPI number:** 1508201062
- **Authorized official:** WALBURGA S MARTIN MD (OWNER)
- **Authorized official phone:** (509) 303-9570

## Contact information

- **Practice address:** 1309 SCENIC DR, PROSSER, WA 99350-1237
- **Practice address phone:** (509) 303-9570
- **Mailing address:** 1309 SCENIC DR, PROSSER, WA 99350-1237
- **Mailing address phone:** (509) 303-9570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00048680 | WA | Yes |

## Other

- **Enumeration date:** 05/09/2013
- **Last updated:** 05/09/2013