Individual
REBECCA JOANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5251 W CAMPBELL AVE, SUITE 204, PHOENIX, AZ 85031-1715
(623) 547-5235
Mailing address
5251 W CAMPBELL AVE, SUITE 204, PHOENIX, AZ 85031-1715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5503
AZ
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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