Individual
DR. RANDAL DAVID MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1900 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6246
(505) 437-3505
Mailing address
PO BOX 372, HIGH ROLLS, NM 88325-0372
(505) 443-8210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2231
NM
225100000X
Physical Therapist
Primary
PT2231
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79351
—
NM
Enumeration date
12/12/2006
Last updated
03/21/2022
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