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Individual

ROBERT ALLEN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
805 N KENTUCKY ST, WEST PLAINS, MO 65775-2022
(417) 256-2111
(417) 256-4858
Mailing address
805 N KENTUCKY AVE, WEST PLAINS, MO 65775-2022
(417) 256-2111
(417) 256-4858

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5N24
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202840807
MO
05
599022307
MO
05
599022308
MO
Enumeration date
07/01/2005
Last updated
02/05/2026
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