Individual
MARTHA IWAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
YUKON-KUSKOKWIM HEALTH CORPORATION, YUKON-KUSKOKWIM DELTA REGIONAL HOSPITAL, BETHEL, AK 99559
(907) 543-0000
Mailing address
201 W PONCE DE LEON AVE UNIT 318, DECATUR, GA 30030-3261
(404) 639-4745
(404) 639-2205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47454
GA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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