MR. Daniel Allen Martin, PHYSICIAN ASSISTANT

NPI #1770846172 in Whiteman Afb, Missouri

Provider Information

NPI Number: 1770846172
Entity Type: Individual
Name: MR. Daniel Allen Martin, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Jun 20, 2012
Last Updated: Dec 15, 2021

Practice Location

Address: 331 SIJAN AVENUE
City: Whiteman Afb
State: Missouri
ZIP Code: 65305-1269
Phone: (405) 626-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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