Organization
JOSEPH MARTINDALE, DO,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L MARTINDALE DO (OWNER)
(208) 237-3612
Entity
Organization
Contact information
Practice address
4460 CENTRAL WAY, SUITE 3, CHUBBUCK, ID 83202-5095
(208) 237-3612
Mailing address
4460 CENTRAL WAY, SUITE 3, CHUBBUCK, ID 83202-5095
(208) 237-3612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
O-0391
ID
Other
Enumeration date
02/22/2008
Last updated
03/05/2008
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