Individual
JAMES D. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 25TH ST, MEDICAL ARTS PAVILLION, ANACORTES, WA 98221-2703
(360) 899-4600
Mailing address
1415 E. KINCAID STREET, MOUNT VERNON, WA 98274-4126
(360) 424-4111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00039308
WA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
00039308
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010150615
BSID
ID
01
—
041428015
BSOR
OR
01
—
1210MA
BSWA
WA
05
—
278667
—
OR
01
—
3079MA
BSWA
WA
01
—
4434MA
BSWA
WA
05
—
807175600
—
ID
05
—
8272528
—
WA
05
—
8472029
—
WA
Enumeration date
06/08/2006
Last updated
03/30/2012
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