Individual
DR. PHILIP GUSTAVE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3432 GURNARD AVE, SAN PEDRO, CA 90732-4716
(310) 938-5245
Mailing address
3432 GURNARD AVE, SAN PEDRO, CA 90732-4716
(310) 938-5245
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AO45448
CA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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