Organization
DAVID W. MARTIN, M.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WENDELL MARTIN MD (OWNER)
(606) 432-2872
Entity
Organization
Contact information
Practice address
255 CHURCH STREET, SUITE 203, PIKEVILLE, KY 41501
(606) 432-2872
(606) 432-1343
Mailing address
PO BOX 3219, PIKEVILLE, KY 41502
(606) 432-2872
(606) 432-1343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042976
BLUE CROSS BLUE SHIELD
KY
01
—
1529561
UMWA
KY
05
—
64343593
—
KY
Enumeration date
04/23/2007
Last updated
08/22/2020
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