Individual
DR. RICHARD C. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5355 E HIGH ST UNIT 113, PHOENIX, AZ 85054-5481
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18550
AZ
207X00000X
Orthopaedic Surgery Physician
18550
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
18550
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290172
—
AZ
01
—
3Z3915
HEALTNET ID
—
Enumeration date
05/04/2006
Last updated
10/12/2022
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