Individual
DAVID JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4415 SONOMA HWY, SUITE A, SANTA ROSA, CA 95409-7100
(707) 537-2070
(707) 537-9696
Mailing address
4415 SONOMA HWY, SUITE A, SANTA ROSA, CA 95409-7100
(707) 537-2070
(707) 537-9696
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A82729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067920
—
CA
01
—
P00051386
RR MEDICARD
—
Enumeration date
07/12/2005
Last updated
07/23/2007
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