Individual
MR. MATTHEW J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
085002515
IL
363AS0400X
Surgical Physician Assistant
Primary
2087
NE
363AS0400X
Surgical Physician Assistant
85002515
IL
Other
Enumeration date
07/26/2006
Last updated
12/15/2023
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