Organization
TODD D MARTIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MARTIN MD (PRESIDENT)
(402) 328-8833
Entity
Organization
Contact information
Practice address
825 22ND ST, FAIRBURY, NE 68352-1221
(402) 416-3398
Mailing address
825 22ND ST, FAIRBURY, NE 68352-1221
(402) 416-3398
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22176
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22176
STATE OF NE
NE
Enumeration date
04/01/2015
Last updated
04/02/2015
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