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Individual

DR. RICHARD LEROY MARTIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3800 W RAY RD STE 5, CHANDLER, AZ 85226-5940
(480) 718-5400
Mailing address
25138 W. BLUE SKY DRIVE, WHITTMANN, AZ 85361
(740) 312-3140

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
36003308M
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-000813
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2338992
OH
Enumeration date
10/25/2006
Last updated
08/10/2022
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