Organization
JOHN B MARTIN MD
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BARLOW MARTIN I MD (PHYSICIAN)
(314) 725-2618
Entity
Organization
Contact information
Practice address
312 N MERAMEC AVE APT 300, 312 N MERAMEC #300, SAINT LOUIS, MO 63105-3774
(314) 725-2618
(314) 725-2618
Mailing address
312 N MERAMEC AVE APT 300, 312 N MERAMEC #300, SAINT LOUIS, MO 63105-3774
(314) 725-2618
(314) 725-2618
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
26157
MO
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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