Individual
STEPHEN BROOKS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
4881 SUGAR MAPLE DR, 88 MDOS, WPAFB, OH 45433
(937) 257-0770
Mailing address
4881 SUGAR MAPLE DR, 88 MDOS, WPAFB, OH 45433
(937) 257-0770
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
12/08/2011
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