Individual
DR. PHILIP EUGENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6815 HILLTOP RD, STE 100, SHAWNEE, KS 66226
(913) 632-9600
(913) 632-9695
Mailing address
6815 HILLTOP RD STE 100, SHAWNEE, KS 66226-3551
(913) 632-9600
(913) 632-9659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0421167
KS
207R00000X
Internal Medicine Physician
Primary
0421167
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100135700B
—
KS
Enumeration date
11/30/2006
Last updated
10/27/2021
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