Individual
WILLIAM MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,ATC,CSCS,LAT
Contact information
Practice address
4186 E BLUE SAGE RD, GILBERT, AZ 85297-4934
(480) 338-8710
Mailing address
4186 E BLUE SAGE RD, GILBERT, AZ 85297-4934
(480) 338-8710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0923
AZ
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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