Individual
ADAM DOMINIC MARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
910 NE D ST STE 104, GRANTS PASS, OR 97526-2325
(541) 476-4611
Mailing address
910 NE D ST STE 104, GRANTS PASS, OR 97526-2325
(541) 476-4611
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01179
OR
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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