Individual
DOUGLAS KENT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 W 10TH ST, INDIANAPOLIS, IN 46202-4800
(317) 670-9871
Mailing address
1101 W 10TH ST, INDIANAPOLIS, IN 46202-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01031928
IN
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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