Individual
MARTIN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
303 S 12TH AVE, YAKIMA, WA 98902-3112
(509) 453-8248
(509) 248-9012
Mailing address
303 S 12TH AVE, YAKIMA, WA 98902-3112
(509) 453-8248
(509) 248-9012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7098684
—
WA
05
—
9079203
—
WA
Enumeration date
05/12/2006
Last updated
10/11/2011
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