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Individual

MARTIN K ABBOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1277 WOODWARD CANYON RD, TOUCHET, WA 99360-9709
(509) 529-1284
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 529-1284

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00033653
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050047616
RAILROAD MEDICARE
WA
05
080739
OR
05
1098367
WA
Enumeration date
07/22/2005
Last updated
10/28/2011
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