Individual
JOSE Y MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-0000
(740) 922-8042
Mailing address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-0000
(740) 922-8042
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-03-6252-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257038
—
OH
Enumeration date
10/31/2005
Last updated
01/13/2015
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