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Individual

DR. JOHN D. MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1103 KALISTE SALOOM RD STE 304, LAFAYETTE, LA 70508-5784
(337) 988-5646
(337) 988-4298
Mailing address
1103 KALISTE SALOOM RD STE 304, LAFAYETTE, LA 70508-5784
(337) 988-5646
(337) 988-4298

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20885
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20885
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1999512
LA
Enumeration date
10/04/2005
Last updated
10/25/2025
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