Individual
ESTEBAN MARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 556-1718
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-1718
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2011014306
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061603
—
LA
05
—
3114025
—
OH
Enumeration date
04/01/2008
Last updated
01/14/2014
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