Individual
THOMAS MICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 W RAY RD STE 6&7, CHANDLER, AZ 85225-7284
(480) 331-9140
(480) 383-6596
Mailing address
501 W RAY RD STE 6&7, CHANDLER, AZ 85225-7284
(480) 331-9140
(480) 383-6596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5245
AZ
363AM0700X
Medical Physician Assistant
5245
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740722
—
AZ
Enumeration date
09/27/2012
Last updated
03/17/2026
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