Individual
DR. MARY LOUISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3223 8TH ST, METAIRIE, LA 70002-1623
(504) 833-7770
Mailing address
PO BOX 276, ZACHARY, LA 70791-0276
(626) 394-3198
(225) 654-8750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A99897
CA
207P00000X
Emergency Medicine Physician
Primary
MD.203324
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080563
—
LA
01
—
P00787988
RAILROAD MCARE THRU PEPA
—
Enumeration date
08/10/2007
Last updated
06/25/2010
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