Individual
DR. DANIEL CHRISOPHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7650 E PARHAM RD, SUITE 100, RICHMOND, VA 23294-4373
(804) 288-3136
(804) 288-4538
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101040954
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
0101040954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010316391
—
VA
01
—
10012980
OPTIMA HEALTH
VA
01
—
1381338
AETNA US HMO
VA
05
—
1467434290
—
VA
01
—
238673
ANTHEM
VA
01
—
3140423
MAMSI-UNITED HEALTHCARE
VA
01
—
442112
SOUTHERN HEALTH
VA
01
—
540885859
UNITED HEALTHCARE
VA
Enumeration date
11/17/2005
Last updated
09/12/2020
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