Individual
MARTY M SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
970 FRANKLIN STREET, JOHNSTOWN, PA 15905
(814) 536-5648
(814) 536-5648
Mailing address
970 FRANKLIN STREET, JOHNSTOWN, PA 15905
(814) 536-5648
(814) 536-5648
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD026495E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011278190002
—
PA
Enumeration date
08/29/2006
Last updated
07/08/2007
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