Individual
DR. REBECCA EDGE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-5778
Mailing address
6 LORETTA CIR, LITTLE ROCK, AR 72227-5953
(501) 257-5778
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
C5785
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100069008
MEDICARE RAILROAD
AR
05
—
111259001
—
AR
Enumeration date
09/06/2006
Last updated
06/17/2008
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