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Individual
MRS. PATRICIA G MARTIN
Active
Individual
MRS. PATRICIA G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002278
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240452
KAISER
MD
01
—
611353
NCPPO
MD
01
—
K619
CAREFIRST REGIONAL
MD
05
—
P00033963
—
MD
Enumeration date
07/30/2006
Last updated
06/10/2011
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