Individual
CYNTHIA EARHART MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-6025
(928) 639-6541
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9400
(928) 774-4808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32051
AZ
208000000X
Pediatrics Physician
32051
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840513
—
AZ
Enumeration date
05/12/2006
Last updated
01/24/2024
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