Individual
WILLIAM R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
101 W 8TH #L1, STE 100, SPOKANE, WA 99204-2302
(509) 474-2880
(509) 474-2241
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8348252
—
WA
01
—
AB32999
MEDICARE GROUP
WA
Enumeration date
06/06/2006
Last updated
06/18/2021
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