Individual
DR. BETH ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 215-2005
Mailing address
2571 S EVERGREEN LN, COEUR D ALENE, ID 83814-7551
(208) 640-1392
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M7951
ID
208000000X
Pediatrics Physician
Primary
MD493108
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010028237
REGENCE BLUE SHIELD
ID
05
—
805743100
—
ID
05
—
8267098
—
WA
01
—
J3961
BLUE CROSS OF IDAHO
ID
Enumeration date
08/09/2006
Last updated
01/06/2026
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