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Individual

ANNE CATHERINE MARTIN-KO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
260 HOSPITAL DR, SUITE 204, UKIAH, CA 95482-4533
(707) 463-3470
Mailing address
260 HOSPITAL DR, SUITE 207, UKIAH, CA 95482-4533
(707) 463-8000
(707) 462-1111

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
C54981
CA
2080A0000X
Pediatric Adolescent Medicine Physician
MD048496L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000853A
UPMC
PA
05
0012644510003OU
PA
05
0014521480001
PA
01
0366976
CIGNA
PA
01
42469
AETNA
PA
01
575394
HIGHMARK
PA
05
90923
PA
Enumeration date
08/31/2006
Last updated
04/13/2012
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