Individual
DR. PATRICK MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
91 E CROY ST UNIT B, HAILEY, ID 83333-8877
(208) 293-6604
Mailing address
PO BOX 4528, KETCHUM, ID 83340-4601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2086
ID
Other
Enumeration date
01/14/2021
Last updated
10/28/2021
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