Individual
DR. MARTIN H ELLBOGEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 379-2260
(360) 379-8352
Mailing address
2698 ARDON LN, CASPER, WY 82609-3902
(307) 237-7806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6404A
WY
207R00000X
Internal Medicine Physician
MD00043681
WA
207RI0200X
Infectious Disease Physician
6404A
WY
207RI0200X
Infectious Disease Physician
Primary
MD00043681
WA
208M00000X
Hospitalist Physician
6404A
WY
Other
Enumeration date
07/16/2006
Last updated
08/15/2025
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