Individual
PATRICK ALLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2610 TRINITY DR STE 14, LOS ALAMOS, NM 87544-2362
(505) 500-8213
(866) 611-2891
Mailing address
2610 TRINITY DR STE 14, LOS ALAMOS, NM 87544-2362
(505) 500-8213
(866) 611-2891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20040503
NM
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD2004-0503
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47951567
—
NM
Enumeration date
09/13/2005
Last updated
04/26/2023
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