Organization
MELINDA M. MARTIN, M.D., P.L.L.C.
Active
Other names
Melinda M Martin-Guess, M.D. P.L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA MARIE MARTIN M.D. (PRESIDENT-OWNER OF PRACTICE)
(928) 777-0070
Entity
Organization
Contact information
Practice address
907 AINSWORTH DRIVE, PRESCOTT, AZ 86305-1607
(928) 777-0070
(928) 445-7163
Mailing address
907 AINSWORTH DRIVE, PRESCOTT, AZ 86305-1607
(928) 777-0070
(928) 445-7163
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
21893
AZ
207VX0000X
Obstetrics Physician
Primary
21893
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151259
—
AZ
05
—
151259001
—
AZ
Enumeration date
05/09/2007
Last updated
02/27/2014
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