Organization
DR. RICHARD L. MARTIN JR L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH LYNN MARTIN RN (OFFICE MANAGER)
(740) 695-4410
Entity
Organization
Contact information
Practice address
107 PLAZA DR, STE S, SAINT CLAIRSVILLE, OH 43950-8786
(740) 695-4410
(740) 695-5440
Mailing address
107 PLAZA DR, STE S, SAINT CLAIRSVILLE, OH 43950-8786
(740) 695-4410
(740) 695-5440
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003308M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2338992
—
OH
Enumeration date
05/22/2007
Last updated
10/31/2007
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