Individual
DR. RUSSELL RICHARD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 E HERNDON AVE STE 210, FRESNO, CA 93720-3333
(559) 450-7200
(559) 450-7214
Mailing address
1111 E SPRUCE AVE STE 431, FRESNO, CA 93720-3330
(559) 450-7449
(559) 450-7470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A108122
CA
Other
Enumeration date
05/31/2008
Last updated
10/19/2023
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