Individual
DR. ANNIA MARTIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6384
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125065694
IL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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