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Individual
DR. CHRISTOPHER A. MARTIN
Active
Individual
DR. CHRISTOPHER A. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2635
WV
207Q00000X
Family Medicine Physician
Primary
ED0222A
WV
363A00000X
Physician Assistant
00965
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034320000
—
WV
05
—
0056758000
—
WV
01
—
2744504
BC/BS
WV
05
—
3810024860
—
WV
Enumeration date
08/21/2006
Last updated
09/11/2014
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