Individual
STEVEN LEE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3003 CIVIC CIRCLE BLVD STE 200, MARION, IL 62959-5259
(618) 993-1400
(618) 993-1522
Mailing address
909 W PRAIRIE ST, MARION, IL 62959-2070
(618) 751-2059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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