# MS. STACY ANN MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891748315
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | EMTL-2020-001 | GU | — |
| 207P00000X | Emergency Medicine Physician | M-2221 | GU | — |
| 207P00000X | Emergency Medicine Physician | MTL-2018-027 | GU | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 341513 | UT | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 04/09/2021