Individual
JAMES D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Contact information
Practice address
400 N MAIN ST, WASILLA, AK 99654-7018
(907) 373-2022
(907) 373-2029
Mailing address
400 N MAIN ST, WASILLA, AK 99654-7018
(907) 373-2022
(907) 373-2029
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
AA187
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH0065
—
AK
Enumeration date
01/12/2006
Last updated
07/08/2007
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