Martin Medical Group LLC

NPI #1467081448 in Logan, Utah

Provider Information

NPI Number: 1467081448
Entity Type: Organization
Organization Name: Martin Medical Group LLC
Primary Specialty: Physician Assistant
Enumeration Date: Apr 2, 2020
Last Updated: Feb 23, 2023

Practice Location

Address: 115 GOLF COURSE RD STE E
City: Logan
State: Utah
ZIP Code: 84321-5934
Phone: (435) 999-4059

Authorized Official

Name: COLBY MARTIN
Title: OWNER
Phone: (435) 881-0662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Physician Assistant	363A00000X	Primary

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