Individual
JON RADLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 SHADOW LANE, VALLEY HOSPITAL, LAS VEGAS, NV 89106-4194
(702) 388-8436
(702) 388-8431
Mailing address
620 SHADOW LANE, VALLEY HOSPITAL, LAS VEGAS, NV 89106-4194
(702) 388-8436
(702) 388-8431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SL0519
NV
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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