Individual
GLORIA L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 SHADOW LANE, SUITE #165, LAS VEGAS, NV 89106
(702) 522-9640
(702) 522-9641
Mailing address
700 SHADOW LANE, SUITE #165, LAS VEGAS, NV 89106
(702) 522-9640
(702) 522-9641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6945
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019252
—
NV
Enumeration date
06/09/2006
Last updated
03/02/2017
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