Rickey Rodger Martin, PA
NPI #1023027737 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1023027737
- Entity Type
- Individual
- Name
- Rickey Rodger Martin, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Aug 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 126 MISSOURI AVE
- State
- Missouri
- ZIP Code
- 65473-8952
- Phone
- (573) 596-0417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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