Individual
DR. ROBERT WAYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1290 E 32ND ST, SILVER CITY, NM 88061-7229
(575) 388-1819
(575) 388-1972
Mailing address
1290 E 32ND ST, SILVER CITY, NM 88061-7229
(575) 388-1819
(575) 388-1972
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20666
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
MD2014-0169
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350764YKR1
MEDICARE PTAN
NM
05
—
88659704
—
NM
Enumeration date
01/19/2006
Last updated
09/17/2014
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