Individual
MR. JEFFREY ALAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
22004
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
T2208
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053425173
—
TX
01
—
2A1204
PTAN
TX
05
—
42814503
—
AZ
Enumeration date
08/18/2006
Last updated
08/15/2022
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