Individual
PHILIP L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11144 TESSON FERRY RD, #205, ST LOUIS, MO 63123
(314) 842-8427
(314) 842-8262
Mailing address
11144 TESSON FERRY RD, #205, ST LOUIS, MO 63123
(314) 842-8427
(314) 842-8262
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
32044
MO
Other
Enumeration date
10/10/2006
Last updated
09/17/2007
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