Individual
PAMELA C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 FOUCHER STREET, NEW ORLEANS, LA 70115-3515
(504) 897-8418
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
L015176
LA
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD015176
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L015176
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1365882
—
LA
Enumeration date
08/18/2005
Last updated
02/25/2015
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