Individual
DR. ALLAN RUSSELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(647) 274-0761
Mailing address
4860 Y ST STE 3740, SACRAMENTO, CA 95817-2307
(647) 274-0761
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
PENDING
CA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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