Individual
MR. SCOTT KENNETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1014 SAINT CLAIR BLVD STE 1020, GONZALES, LA 70737-5027
(225) 743-2000
(224) 743-2010
Mailing address
1014 SAINT CLAIR BLVD STE 1020, GONZALES, LA 70737-5027
(225) 743-2000
(225) 743-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200388.RX
LA
Other
Enumeration date
06/09/2010
Last updated
03/07/2022
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