Individual
MICHAEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
602 OAK ST, CONWAY, AR 72032
(501) 327-2273
(501) 329-7989
Mailing address
602 OAK ST, CONWAY, AR 72032
(501) 327-2273
(501) 329-7989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1092
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14400000041
QUAL-CHOICE
AR
01
—
5008418
AETNA
AR
01
—
59224
BLUECROSS BLUESHILED
AR
Enumeration date
08/11/2006
Last updated
02/10/2014
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