Ricky Lee Martin JR., PA-C

NPI #1174880447 in Columbus, Indiana

Provider Information

NPI Number: 1174880447
Entity Type: Individual
Name: Ricky Lee Martin JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 11, 2012
Last Updated: Sep 6, 2024

Practice Location

Address: 2326 18TH ST STE 210
City: Columbus
State: Indiana
ZIP Code: 47201-5362
Phone: (812) 372-8680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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