Individual
DR. DAVID B MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 5TH ST, CLARKSTON, WA 99403
(509) 751-9981
(509) 751-9983
Mailing address
1625 5TH ST, CLARKSTON, WA 99403-3001
(509) 751-9981
(509) 751-9983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G45192
CA
207Q00000X
Family Medicine Physician
M7091
ID
207Q00000X
Family Medicine Physician
Primary
MD00033883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002261500
—
ID
05
—
00G451921
—
CA
Enumeration date
06/03/2006
Last updated
07/24/2019
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