Individual
DR. ALAN JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12634 OLIVE BLVD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63141-6337
(314) 996-8470
(314) 747-3338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-8470
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004016559
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209055706
—
MO
Enumeration date
11/22/2005
Last updated
04/17/2025
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