Organization
PETER J MARTIN
Active
Organization
PETER J MARTIN
Active
Other names
Tekoa Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J MARTIN PA-C (ADMINISTRATOR)
(509) 284-2423
Entity
Organization
Contact information
Practice address
N. 115 CROSBY ST., TEKOA, WA 99033-0629
(509) 284-2423
(509) 284-3434
Mailing address
PO BOX 629, TEKOA, WA 99033-0629
(509) 284-2423
(509) 284-3434
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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