Individual
MR. BRIAN DAVID MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
218 CORPORATE DR, HOUMA, LA 70360-2768
(985) 853-1390
(985) 850-5283
Mailing address
PO BOX 177, BOURG, LA 70343-0177
(985) 594-6584
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
F01313
LA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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