Individual
DR. BROOKS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1090 3RD ST, SOUTH LAKE TAHOE, CA 96150-3485
(530) 543-5660
(530) 542-1619
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4413
NV
207Q00000X
Family Medicine Physician
Primary
G42705
CA
Other
Enumeration date
07/12/2005
Last updated
07/16/2014
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