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Individual

DR. THOMAS WARNER MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2610 N PRINCE ST, CLOVIS, NM 88101
(505) 762-9409
(505) 762-6343
Mailing address
2610 N PRINCE ST, PO BOX 2101, CLOVIS, NM 88101
(505) 762-9409
(505) 762-6343

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1151
NM
111N00000X
Chiropractor
5501
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NM00KC88
BCBS
NM
Enumeration date
07/07/2006
Last updated
05/21/2008
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