Marie B Martin, PA C

NPI #1790705515 in Medicine Bow, Wyoming

Provider Information

NPI Number: 1790705515
Entity Type: Individual
Name: Marie B Martin, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Jul 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 514 IDAHO DRIVE
City: Medicine Bow
State: Wyoming
ZIP Code: 82329-0037
Phone: (307) 379-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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