Individual
MARTIN ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17674 MAHONING AVE, LAKE MILTON, OH 44429-9582
(330) 654-3600
(330) 654-3811
Mailing address
17674 MAHONING AVE, LAKE MILTON, OH 44429-9582
(330) 654-3600
(330) 654-3811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35079291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2244860
—
OH
Enumeration date
12/28/2005
Last updated
11/16/2012
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