Individual
JUSTIN R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-1020
Mailing address
3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 292-7805
(210) 292-7868
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
12/27/2023
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