Individual
DR. TRENT D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 GLENN MITCHELL DR, STE 102, VIRGINIA BEACH, VA 23456-0170
(757) 464-1644
(757) 363-1071
Mailing address
1020 INDEPENDENCE BLVD, SUITE 110, VIRGINIA BEACH, VA 23455-5500
(757) 464-1644
(757) 363-1071
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101043272
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006077048
—
VA
Enumeration date
01/04/2006
Last updated
03/01/2016
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