Individual
SCOT A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD. PC.
Contact information
Practice address
141 S ROADRUNNER PKWY, SUITE 129, LAS CRUCES, NM 88011-2006
(505) 521-7111
(505) 521-0563
Mailing address
141 S ROADRUNNER PKWY, SUITE 129, LAS CRUCES, NM 88011-2006
(505) 521-7111
(505) 521-0563
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20020069
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM019760
BCBS NM
NM
05
—
57836370
—
NM
01
—
753046022001
MOLINA CIMARRON
NM
01
—
772805
PRESBYTERIAN
NM
Enumeration date
08/31/2006
Last updated
10/11/2023
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