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Individual

DR. RICHARD G MARTIN

Active
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Individual

DR. RICHARD G MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00014528
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004310957
AETNA
05
009952090
AL
01
040012221
RAILROAD RETIREMENT
01
174148900
US DEPARTMENT OF LABOR
01
51079122
BLUECROSS BLUESHIELD
AL
01
51501688
BLUECROSS BLUESHIELD
AL
Enumeration date
09/20/2006
Last updated
01/30/2023
Update your record

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