Rita M Martin P.A.

NPI 1144339961 - Physician Assistant - 363AS0400X

NPI Details
NPI 1144339961
Gender Female
Enumeration Date 08/29/2006
Last Updated 02/25/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1025 MAINE ST
QUINCY IL, 62301-4038, US
Phone (217) 222-6550
Fax
Business Location
1025 MAINE ST
QUINCY IL, 62301-4038, US
Phone (217) 222-6550
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Illinois
License Number 085000654
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According to our database, Rita M Martin P.A. NPI is 1144339961, taxonomy code is 363AS0400X and license number is 085000654, license state is located at Illinois. Rita M Martin P.A. physically located at 1025 Maine St, Quincy IL, 62301-4038. NPI Number Rita M Martin P.A. has the Individual type.

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1144339961 NPI number is provided on an as is basis without warranty of any kind. 1144339961 is maintained by the National Plan & Provider Enumeration System. The contents of Rita M Martin P.A. are for informational purposes only.