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Individual

DR. RONALDO PATRICK MARTIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2 COLISEUM XING, HAMPTON, VA 23666-5970
(757) 826-1798
(757) 826-1798
Mailing address
2 COLISEUM XING, HAMPTON, VA 23666-5970
(757) 826-1798
(757) 826-1798

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000507
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009204814
VA
Enumeration date
08/04/2006
Last updated
08/28/2012
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