Heather B Martin, PA

NPI #1588999700 in Peoria, Illinois

Provider Information

NPI Number: 1588999700
Entity Type: Individual
Name: Heather B Martin, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 6, 2009
Last Updated: Sep 1, 2015

Practice Location

Address: 5405 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-5016
Phone: (309) 691-4410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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