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Individual
GEORGE L MARTIN
Active
Individual
GEORGE L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01071495A
IN
208800000X
Urology Physician
37370
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000776371
ANTHEM
IN
05
—
201081540
—
IN
05
—
370244
—
AZ
01
—
P00869313
RAILROAD MEDICARE
AZ
Enumeration date
07/06/2006
Last updated
11/16/2022
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