Individual
MARTIN TYLER DEAL
Active
Individual
MARTIN TYLER DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101056743
VA
207R00000X
Internal Medicine Physician
9701734
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104W
BCBS INDIVIDUAL NUMBER
NC
05
—
891104W
—
NC
Enumeration date
08/30/2005
Last updated
01/07/2022
Update your record
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