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Individual

DR. LARRY K MARTIN

Active
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Individual

DR. LARRY K MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT5292
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53729
MT
01
92640
BLUE CROSS SHIELD
MT
Enumeration date
02/02/2007
Last updated
07/08/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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