Organization
MARTIN FAMILY MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA K MARTIN APN (OWNER)
(870) 642-2000
Entity
Organization
Contact information
Practice address
1357 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-2000
(870) 642-2005
Mailing address
1357 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-2000
(870) 642-2005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
AR
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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