Individual
DR. PHIL W MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1426 E ELM ST, SPRINGFIELD, MO 65802-3308
(417) 862-6127
(417) 862-6127
Mailing address
1426 E. ELM STREET, SPRINGFIELD, MO 65802
(417) 862-6127
(417) 862-6127
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04513
MO
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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