Individual
BRETT ANDREW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 COMMODORE ST, PRATT, KS 67124-2903
(620) 672-7451
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55455
KS
Other
Enumeration date
02/22/2006
Last updated
01/19/2012
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