Individual
DR. CHRIS JOHN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 E BROADWAY, #200, COLUMBIA, MO 65201-8020
(573) 441-2330
(573) 875-1359
Mailing address
1601 E BROADWAY, #200, COLUMBIA, MO 65201-8020
(573) 441-2330
(573) 875-1359
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MOR6J89
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202643607
—
MO
Enumeration date
08/26/2005
Last updated
02/25/2010
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