Individual
JOHN THOMAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1352
(208) 367-6416
Mailing address
PO BOX 7411114, CHICAGO, IL 60674-1114
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.132251
OH
207L00000X
Anesthesiology Physician
Primary
M9126
ID
Other
Enumeration date
05/17/2006
Last updated
10/02/2023
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