Individual
LUDMILA KATHERINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1624 S I ST, SUITE 305, TACOMA, WA 98405-5016
(253) 428-8700
(253) 383-3376
Mailing address
2920 S MERIDIAN, SUITE 100, PUYALLUP, WA 98373-1428
(253) 841-4296
(253) 841-2435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.094489
OH
207R00000X
Internal Medicine Physician
MD60384465
WA
207RX0202X
Medical Oncology Physician
Primary
60384465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030126
—
WA
01
—
P01363075
RAILROAD MEDICARE
WA
Enumeration date
08/06/2007
Last updated
11/04/2014
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