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Individual
DR. SAMUEL ETHAN MARTHINSEN
Active
Individual
DR. SAMUEL ETHAN MARTHINSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
008509
AZ
208D00000X
General Practice Physician
008509
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/09/2024
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