Organization
WAYNE H. MARTIN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE H. MARTIN M.D. (PRESIDENT)
(909) 860-6768
Entity
Organization
Contact information
Practice address
1111 GRAND AVE, SUITE A, DIAMOND BAR, CA 91765-4171
(909) 860-6768
(909) 860-4224
Mailing address
1111 GRAND AVE, SUITE A, DIAMOND BAR, CA 91765-4171
(909) 860-6768
(909) 860-4224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
10/09/2009
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