Organization
ROBERT E MARTIN, MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EDWARD MARTIN M.D. (PRESIDENT)
(907) 376-5284
Entity
Organization
Contact information
Practice address
501 N KNIK ST, WASILLA, AK 99654-7050
(907) 376-5284
(907) 373-2464
Mailing address
501 N KNIK ST, WASILLA, AK 99654-7050
(907) 376-5284
(907) 373-2464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1479
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1479
—
AK
Enumeration date
08/14/2008
Last updated
08/14/2008
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