Individual
DR. STANLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10336 W COGGINS DR, SUN CITY, AZ 85351-3438
(623) 933-2013
Mailing address
11845 W WINDSOR AVE, AVONDALE, AZ 85323-5169
(623) 362-2575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
143
AZ
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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