Individual
JAMES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
HWY 68 #2243 RINCONADA, EMBUDO, NM 87531
(505) 579-4255
(505) 579-4669
Mailing address
PO BOX 158, 538 N. PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2011-0005
NM
Other
Enumeration date
08/12/2006
Last updated
08/02/2013
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