Individual
MATT ALLEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3333 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117-2922
(501) 202-3698
Mailing address
11 PINE TREE LOOP, NORTH LITTLE ROCK, AR 72116-8313
(501) 812-4809
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PAT 1335
AR
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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