Individual
MEGAN MARTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E 12TH ST, EMMETT, ID 83617-3626
(208) 365-1065
(208) 365-1068
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
APPLIED FOR
ID
363A00000X
Physician Assistant
Primary
PA-1401
ID
Other
Enumeration date
08/28/2016
Last updated
07/27/2022
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