Individual
RONALD A MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 LATHROP ST, STE 220, FAIRBANKS, AK 99701-5942
(907) 452-1739
(907) 452-2384
Mailing address
PO BOX 73410, FAIRBANKS, AK 99707-3410
(800) 478-4091
(907) 770-2341
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1695
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1695
—
AK
Enumeration date
03/11/2006
Last updated
08/30/2010
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