Organization
ALFONSO J MARTINEZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO MARTINEZ MD (OWNER)
(816) 309-9538
Entity
Organization
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 425-6084
(816) 873-1121
Mailing address
PO BOX 1189, INDEPENDENCE, MO 64051-0689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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