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Individual

MR. RICHARD LEE MARTIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPRS

Contact information

Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
Mailing address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20-901
WV

Other

Enumeration date
07/20/2022
Last updated
07/20/2022
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