Individual
MARTINA FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6320 N LA CHOLLA BLVD STE 300, TUCSON, AZ 85741-3552
(520) 545-0953
(520) 545-0954
Mailing address
6320 N LA CHOLLA BLVD STE 300, TUCSON, AZ 85741-3552
(520) 545-0953
(520) 545-0954
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2513
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z6037
HEALTH NET
AZ
05
—
619918
—
AZ
01
—
970022749
RAILROAD MEDICARE
AZ
01
—
AZ0886320
BCBS OF ARIZONA
AZ
Enumeration date
05/23/2005
Last updated
09/13/2021
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