Individual
ANDREW ARTHUR MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(794) 725-6801
(479) 725-6577
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-3903
(214) 648-2481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-6115
AR
2080P0207X
Pediatric Hematology & Oncology Physician
P7666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177405001
—
AR
Enumeration date
04/25/2007
Last updated
01/21/2020
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