Gabriel A Martin PA-C

NPI 1376680462 - Physician Assistant - 363A00000X

NPI Details
NPI 1376680462
Gender Male
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
103 S WASHINGTON ST
SUITE 202
CARBONDALE IL, 62901-3030, US
Phone (618) 521-9875
Fax
Business Location
201 EAST MAIN ST
2G
CARBONDALE IL, 62901-3036, US
Phone (618) 521-9875
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Gabriel A Martin PA-C NPI is 1376680462, taxonomy code is 363A00000X Gabriel A Martin PA-C physically located at 103 S Washington St, Carbondale IL, 62901-3030. NPI Number Gabriel A Martin PA-C has the Individual type.

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1376680462 NPI number is provided on an as is basis without warranty of any kind. 1376680462 is maintained by the National Plan & Provider Enumeration System. The contents of Gabriel A Martin PA-C are for informational purposes only.