Individual
DR. TIMOTHY J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HOSPITAL DR STE 100, SAINT PETERS, MO 63376-1659
(636) 916-7272
(636) 916-7274
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-2905
(636) 916-7272
(636) 916-7274
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
101609
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010910183
—
MO
Enumeration date
06/16/2006
Last updated
09/18/2025
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