Individual
DR. ERICK G MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 LATHROP ST, FAIRBANKS, AK 99701-5937
(907) 459-3586
(907) 374-7770
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(305) 761-1934
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
168881
AK
208600000X
Surgery Physician
11981
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720992
—
AK
Enumeration date
03/13/2007
Last updated
02/01/2023
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