Individual
DR. MARTA MARIE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 6TH ST STE 203, CORALVILLE, IA 52241-1757
(319) 339-3850
(319) 339-3871
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD-24377
IA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
24377
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962491373
—
IA
01
—
IB3947001
MEDICARE PTAN
IA
Enumeration date
10/18/2005
Last updated
05/03/2022
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