Individual
DR. TREVOR R. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1230 S IOWA AVE, WASHINGTON, IA 52353-1144
(319) 653-7291
(319) 653-7440
Mailing address
PO BOX 909, WASHINGTON, IA 52353-0909
(319) 653-7291
(319) 653-7440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.123879
IL
207Q00000X
Family Medicine Physician
125.053253
IL
207Q00000X
Family Medicine Physician
Primary
4061
IA
Other
Enumeration date
03/30/2009
Last updated
04/30/2014
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