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Individual

ANTHONY L MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3634
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02002984A
IN
207R00000X
Internal Medicine Physician
Primary
02004075A
IN
207R00000X
Internal Medicine Physician
03023
KY

Other

Enumeration date
07/17/2006
Last updated
03/29/2016
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