Individual
J TYLER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 QUARRY LEDGE RD, ROCA, NE 68430-4284
(402) 587-2312
Mailing address
5200 QUARRY LEDGE RD, ROCA, NE 68430-4284
(402) 587-2312
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
17566
NE
2080P0208X
Pediatric Infectious Diseases Physician
Primary
17566
NE
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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