Individual
DR. COLIN ALEX MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV SURG PED, STE 2A, SAINT LOUIS, MO 63110-1002
(314) 454-6022
(866) 422-8308
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6022
(866) 422-8308
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2023034985
MO
2086S0120X
Pediatric Surgery Physician
Primary
2023034985
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200130074
—
MO
Enumeration date
06/07/2007
Last updated
03/06/2026
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