Individual
HAROLD WILLIAM MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
827 VISTA AVE, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-3030
Mailing address
440 N NAVAJO DR, PAGE, AZ 86040-1625
(928) 645-1700
(928) 645-1701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3747
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747
STATE LICENSE
AZ
Enumeration date
11/27/2007
Last updated
11/27/2007
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