Individual
DAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E2057
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136794001
—
AR
01
—
18357000000
QUALCHOICE
AR
01
—
423160
HEALTHLINK
AR
01
—
7218039
AETNA
AR
Enumeration date
04/14/2006
Last updated
11/03/2011
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