Individual
KERI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3360 WASHINGTON PARKWAY, SUITE 2, IDAHO FALLS, ID 83404-2271
(208) 529-3967
Mailing address
3360 WASHINGTON PKWY, SUITE 2, IDAHO FALLS, ID 83404-8332
(208) 529-3967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-687
ID
Other
Enumeration date
03/08/2008
Last updated
03/21/2016
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