Individual
DR. DANILO ACHY MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 GOOD SAMARITAN WAY STE 235, MOUNT VERNON, IL 62864-2402
(618) 899-3980
Mailing address
PO BOX 955860, SAINT LOUIS, MO 63195-5860
(636) 498-5944
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036150510
IL
208600000X
Surgery Physician
BP10045821
TX
Other
Enumeration date
05/28/2013
Last updated
10/21/2020
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