Individual
JAMES F. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W MAPLE ST, FARMINGTON, NM 87401-6113
(505) 609-6349
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
C36054
CA
207RG0100X
Gastroenterology Physician
Primary
MD2017-0501
NM
207RG0100X
Gastroenterology Physician
MED-PHYS-LIC-79859
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C360540
—
CA
Enumeration date
10/25/2006
Last updated
11/12/2024
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