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Individual

DR. MARSTON CURTIS MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
925 MALLY ST, TUSCALOOSA, AL 35405-8785
(205) 344-5111
(205) 344-5004
Mailing address
925 MALLY ST, TUSCALOOSA, AL 35405-8785
(205) 344-5111
(205) 344-5004

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S846TA372
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000034313
AL
01
051034313
BLUE CROSS BLUE SHIELD
AL
01
3919300001
DMERC
AL
Enumeration date
02/13/2006
Last updated
02/06/2013
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