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Individual

DR. LAWRENCE MATHER MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4300 N MILLER RD, SUITE 218, SCOTTSDALE, AZ 85251-3619
(480) 699-3860
(480) 699-3971
Mailing address
4300 N MILLER RD, SUITE 218, SCOTTSDALE, AZ 85251-3619
(480) 699-3860
(480) 699-3971

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18040
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0736820
BCBS
AZ
01
86080015085259A115
TRICARE - FOR MAYO CLINIC
AZ
Enumeration date
10/12/2005
Last updated
11/06/2007
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