Individual
MARIAH J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3011 E BARNETT RD, MEDFORD, OR 97504
(541) 789-4673
(541) 789-2121
Mailing address
PO BOX 4749, MEDFORD, OR 97501
(541) 789-4111
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
11/04/2024
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