Individual
DR. DANIEL ALLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4000
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22899
WV
208D00000X
General Practice Physician
01058104A
IN
Other
Enumeration date
12/16/2005
Last updated
04/15/2022
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