Individual
DAVID A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 FOUNTAIN DR, SUITE 100, CONWAY, AR 72034-3684
(501) 932-5060
(501) 552-5330
Mailing address
3025 FOUNTAIN DR, SUITE 100, CONWAY, AR 72034-3684
(501) 932-5060
(501) 552-5330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6441
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112251001
—
AR
Enumeration date
12/29/2005
Last updated
12/14/2012
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