Individual
ALICIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3921 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2727
(480) 615-2010
(480) 545-4158
Mailing address
PO BOX 16455, MESA, AZ 85211-6455
(480) 615-2010
(480) 962-0523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15059
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269705
—
AZ
Enumeration date
10/26/2005
Last updated
06/10/2011
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