Individual
DR. ANGELA HOPE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST, STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01068781A
IN
2086S0129X
Vascular Surgery Physician
Primary
01068781A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001021493
ANTHEM BCBS
—
01
—
01068781
INDIANA STATE LICENSE
IN
05
—
201104600
—
IN
05
—
7100427590
—
KY
Enumeration date
06/30/2008
Last updated
03/05/2024
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