Individual
ROBERT WILLIAM MARTIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9355
(812) 858-4539
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9355
(812) 858-4539
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01044875A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10825550
CAQH NUMBER
IN
05
—
200103290
—
IN
01
—
90774
PHCS PID NUMBER
IN
Enumeration date
03/17/2006
Last updated
09/10/2014
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