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Individual
MARTIN VAN SLOAN
Active
Individual
MARTIN VAN SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0872
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
PD872
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
PD872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004395004
AETNA
TX
01
—
00FJ64
BLUE CROSS BLUE SHIELD
TX
05
—
0187064-01
—
TX
01
—
0288250001
DMERC NSC
TX
01
—
0288250002
DMERC NSC ROCKWALL
TX
01
—
124202100
FIRSTCARE
TX
01
—
480004770
RAILROAD MEDICARE
TX
Enumeration date
07/15/2005
Last updated
07/19/2018
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