Individual
DR. DAVID CLARK MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1100 S E LOUIS BLVD, MULVANE, KS 67110
(316) 777-9200
(316) 777-0393
Mailing address
1100 S E LOUIS BLVD, MULVANE, KS 67110
(316) 777-9200
(316) 777-0393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104087
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4588319
AETNA US HEALTHCARE
KS
Enumeration date
08/09/2006
Last updated
07/08/2007
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