Individual
JONATHAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5491
(701) 723-5391
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-0887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29746
NE
208600000X
Surgery Physician
38529
SC
Other
Enumeration date
06/23/2015
Last updated
04/22/2021
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