Individual
DR. AMANDA M ST MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
(802) 748-4098
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(603) 545-8904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042.0017604
VT
207P00000X
Emergency Medicine Physician
12985103-1205
UT
Other
Enumeration date
03/30/2021
Last updated
08/12/2024
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