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Individual
MATTHEW MARTIN
Active
Individual
MATTHEW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ATH.200397
LA
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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