Individual
DR. MARTIN JOEL HALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5985 SILVER FALLS RUN STE 100, BRADENTON, FL 34211-1291
(941) 202-2055
(877) 550-1635
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(132) 860-0338
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS13171
FL
207VX0000X
Obstetrics Physician
02005234A
IN
Other
Enumeration date
02/16/2011
Last updated
12/02/2024
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