Individual
DR. JUDITH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 W 8TH AVE, SUITE 454E, SPOKANE, WA 99204-2302
(509) 474-3810
(509) 474-3811
Mailing address
105 W 8TH AVE, SUITE 454E, SPOKANE, WA 99204-2302
(509) 474-3810
(509) 474-3811
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD00038721
WA
208000000X
Pediatrics Physician
Primary
MD00038721
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112051
—
WA
Enumeration date
01/06/2006
Last updated
09/29/2014
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