Individual
DR. MATTHEW MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3131 LA CANADA ST, LAS VEGAS, NV 89169-2578
(702) 636-4399
Mailing address
3131 LA CANADA ST, LAS VEGAS, NV 89169-2578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016090
AZ
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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