Individual
ROBERT CG MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Mailing address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
32503
KY
2086X0206X
Surgical Oncology Physician
Primary
32503
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1163651
PASSPORT
KY
05
—
200367780
—
IN
05
—
64325038
—
KY
Enumeration date
01/24/2006
Last updated
07/30/2009
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