Individual
DAVID MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4727 FRIENDSHIP AVE, #240, PITTSBURGH, PA 15224-1770
(412) 235-5870
Mailing address
262 FIELD CLUB CIR, MC KEES ROCKS, PA 15136-1033
(412) 788-4022
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
63439
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
R203872
MD
367500000X
Certified Registered Nurse Anesthetist
RN282715L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017269590004
—
PA
05
—
2469047
—
OH
05
—
3810008149
—
WV
05
—
412170800
—
MD
Enumeration date
05/19/2006
Last updated
02/01/2019
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