Individual
DR. THOMAS PATRICK MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 W IRONWOOD DR STE 102, COEUR D ALENE, ID 83814-1402
(208) 773-7731
(208) 773-7721
Mailing address
1221 W IRONWOOD DR STE 102, COEUR D ALENE, ID 83814-1402
(208) 773-7731
(208) 773-7721
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M-7514
ID
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
M-7514
ID
Other
Enumeration date
08/30/2006
Last updated
06/06/2019
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