Individual
MARTHA A CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3875 E OVERLAND ROAD, MERIDIAN, ID 83642
(208) 343-3976
(208) 333-9942
Mailing address
3875 E OVERLAND ROAD, MERIDIAN, ID 83642
(208) 343-3976
(208) 333-9942
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M7891
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003621300
—
ID
01
—
M7891
STATE LICENSE #
ID
Enumeration date
07/02/2006
Last updated
07/12/2010
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