Individual
DAVID WAYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3580 PEACH ST, ERIE, PA 16508-2776
(814) 864-9994
Mailing address
7378 DAR LN, NORTH EAST, PA 16428-3886
(814) 725-4994
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003574L
PA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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