Individual
DR. BRYANT R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88TH MDG/SGHJ, 4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433
(937) 938-3489
Mailing address
34 ELM STREET, LANGLEY AFB, VA 23665
(757) 225-0773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD12548
HI
2083A0100X
Aerospace Medicine Physician
Primary
MD-12548
HI
Other
Enumeration date
09/08/2005
Last updated
04/14/2020
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