Individual
DR. WADE HAMPTON MARTIN III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, 111A/JC, SAINT LOUIS, MO 63106-1621
(314) 289-6329
(314) 289-7029
Mailing address
6626 WATERMAN AVE, UNIVERSITY CITY, MO 63130-4659
(314) 863-9207
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R9135
MO
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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