Individual
MELISSA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4419 E VERMONT AVE N, PHOENIX, AZ 85018-1740
(602) 952-1716
(602) 952-1916
Mailing address
4419 E VERMONT AVE N, PHOENIX, AZ 85018-1740
(602) 952-1716
(602) 952-1916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2591
AZ
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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