# DAVID W. MARTIN, M.D., P.S.C.

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

## Provider details

- **NPI number:** 1841418803
- **Authorized official:** DAVID WENDELL MARTIN MD (OWNER)
- **Authorized official phone:** (606) 432-2872

## Contact information

- **Practice address:** 255 CHURCH STREET, SUITE 203, PIKEVILLE, KY 41501
- **Practice address phone:** (606) 432-2872
- **Practice address fax:** (606) 432-1343
- **Mailing address:** PO BOX 3219, PIKEVILLE, KY 41502
- **Mailing address phone:** (606) 432-2872
- **Mailing address fax:** (606) 432-1343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34359 | KY | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000042976 | BLUE CROSS BLUE SHIELD | KY |
| 01 | — | 1529561 | UMWA | KY |
| 05 | — | 64343593 | — | KY |