Martin Surgical Associates LLC

NPI #1104897008 in Dayton, Ohio

Provider Information

NPI Number: 1104897008
Entity Type: Organization
Organization Name: Martin Surgical Associates LLC
Primary Specialty: Surgery
Enumeration Date: Jan 30, 2006
Last Updated: Nov 27, 2007

Practice Location

Address: 8940 KINGSRIDGE DRIVE
Address 2: SUITE 105
City: Dayton
State: Ohio
ZIP Code: 45458
Phone: (937) 439-4178

Authorized Official

Name: MR. DERRICK J MARTIN SR., MD
Title: PRESIDENT
Phone: (937) 439-4178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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