Individual
DR. JANET ROSE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24654 N LAKE PLEASANT PKWY STE 103-225, PEORIA, AZ 85383-1359
(866) 614-8555
Mailing address
24654 N LAKE PLEASANT PKWY STE 103-414, PEORIA, AZ 85383-1359
(866) 614-8555
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33615
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
965460
—
AZ
01
—
AZ0784290
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/04/2006
Last updated
03/29/2023
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