Individual
MISHA LEE TABER MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3165 MYRTLE AVE STE 2, GRANITE CITY, IL 62040-5012
(618) 876-7500
(618) 876-0807
Mailing address
3165 MYRTLE AVE STE 2, GRANITE CITY, IL 62040-5012
(618) 876-7500
(618) 876-0807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-129509
IL
208000000X
Pediatrics Physician
2011012182
MO
Other
Enumeration date
07/04/2008
Last updated
01/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us