Individual
AMY LAURA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2020 E 29TH AVE LOWR LEVEL, SPOKANE, WA 99203-3917
(509) 626-9400
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60658904
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/21/2014
Last updated
07/21/2022
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