Matthew Lane Martin DO

NPI 1649442609 - Internal Medicine - 207R00000X

NPI Details
NPI 1649442609
Gender Male
Enumeration Date 03/31/2008
Last Updated 07/12/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
HENDERSON NV, 89014-8800, US
Phone (702) 777-4809
Fax (702) 777-4822
Business Location
PO BOX 531730
HENDERSON NV, 89053-1730, US
Phone (702) 777-3138
Fax (702) 777-2069
Taxonomy Code 207R00000X
License State Nevada
License Number SL0520
Remove 1649442609 NPI Number

According to our database, Matthew Lane Martin DO NPI is 1649442609, taxonomy code is 207R00000X and license number is SL0520, license state is located at Nevada. Matthew Lane Martin DO physically located at 874 American Pacific Dr, Henderson NV, 89014-8800. NPI Number Matthew Lane Martin DO has the Individual type.

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1649442609 NPI number is provided on an as is basis without warranty of any kind. 1649442609 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Lane Martin DO are for informational purposes only.