Individual
ALFONSO J MARTINEZ
Active
Individual
ALFONSO J MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8566
MO
207RP1001X
Pulmonary Disease Physician
R8566
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08700069
BCBS KANSAS CITY
—
05
—
201362456
—
MO
Enumeration date
07/13/2006
Last updated
02/07/2019
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