Individual
WILLIAM MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
204 N 4TH AVE E, NEWTON, IA 50208-3135
(641) 791-4804
Mailing address
204 N 4TH AVE E, NEWTON, IA 50208-3135
(641) 791-4804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000720
IA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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