Individual
LARRY MARTIN JR.
Active
Individual
LARRY MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11012750A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
2011-01084
NC
207X00000X
Orthopaedic Surgery Physician
35.095415
OH
207X00000X
Orthopaedic Surgery Physician
43478
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558529438
—
NC
05
—
NC1461
—
SC
Enumeration date
05/28/2008
Last updated
10/25/2020
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