Individual
DR. DAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
476 HOSPITAL DR, CAMDEN, AR 71701-4616
(870) 836-6627
(870) 836-7825
Mailing address
476 HOSPITAL DR, CAMDEN, AR 71701-4616
(870) 836-6627
(870) 836-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C5604
AR
208D00000X
General Practice Physician
Primary
C5604
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103662001
—
AR
01
—
53316
PTAN
AR
Enumeration date
07/07/2005
Last updated
01/16/2015
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