Individual
MARIO DANIEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61287183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588223952
—
IA
05
—
2212517
—
WA
Enumeration date
06/10/2019
Last updated
10/17/2023
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