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Individual

MICHAEL C MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5355 W CHANDLER BLVD, SUITE 10 DRIFTWOOD FAMILY CHIROPRACTIC, CHANDLER, AZ 85226
(480) 705-0353
(480) 699-0353
Mailing address
5355 W CHANDLER BLVD, SUITE 10, CHANDLER, AZ 85226
(480) 705-0353
(480) 699-0353

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04894
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2128894
AETNA
AZ
01
61101
HUMANA
AZ
Enumeration date
02/27/2007
Last updated
07/08/2007
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