Individual
THOMAS PETER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8020 CONSTITUTION PLACE NE, #101, ALBUQUERQUE, NM 87110
(505) 998-1317
(505) 998-1308
Mailing address
8020 CONSTITUTION PLACE NE, #202, ALBUQUERQUE, NM 87110
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
93103
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03354
—
NM
05
—
161935
—
AZ
Enumeration date
02/27/2006
Last updated
06/25/2008
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