Individual
MS. MELINDA M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
907 AINSWORTH DR, PRESCOTT, AZ 86305-1607
(928) 777-0070
(928) 445-7163
Mailing address
907 AINSWORTH DR, PRESCOTT, AZ 86305-1607
(928) 777-0070
(928) 445-7163
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21893
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151259
—
AZ
Enumeration date
01/03/2007
Last updated
02/27/2014
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