Individual
DR. FENIX R MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
355TH MEDICAL GROUP, 4175 S. ALAMO AVE, TUCSON, AZ 85707
(520) 228-2628
(520) 228-8890
Mailing address
4175 S. ALAMO AVE, TUCSON, AZ 85707
(520) 228-2628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R038864
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R038864
—
SD
Enumeration date
03/19/2021
Last updated
03/19/2021
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