Individual
SERGE ANTHONY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD, SUITE 209, LOUISVILLE, KY 40241-2845
(502) 425-5556
(502) 992-0079
Mailing address
4950 NORTON HEALTHCARE BLVD, SUITE 209, LOUISVILLE, KY 40241-2845
(502) 425-5556
(502) 992-0079
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21314
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64218143
—
KY
Enumeration date
01/24/2006
Last updated
02/22/2008
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