Individual
DR. ERIC LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1820 ZUMBEHL RD STE 130A, SAINT CHARLES, MO 63303-2761
(636) 947-2334
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(636) 947-2334
(636) 940-5739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019009304
MO
Other
Enumeration date
06/18/2016
Last updated
07/05/2023
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