Individual
PAUL MARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23450 COLLEGE BLVD, OLATHE, KS 66061
(913) 764-7788
(913) 764-6088
Mailing address
2090 W DARTMOUTH ST, OLATHE, KS 66061-6869
(913) 356-8300
(913) 356-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-37376
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201102650B
—
KS
Enumeration date
07/11/2011
Last updated
06/15/2018
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