Thomas Eugene Martin IDC

NPI 1073804084 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1073804084
Gender Male
Enumeration Date 04/25/2011
Last Updated 04/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
36329 SAINT RAPHAEL DR
MURRIETA CA, 92562-8846, US
Phone (951) 764-4270
Fax
Business Location
36329 SAINT RAPHAEL DR
MURRIETA CA, 92562-8846, US
Phone (951) 764-4270
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, Mr. Thomas Eugene Martin IDC NPI is 1073804084, taxonomy code is 1710I1002X Thomas Eugene Martin IDC physically located at 36329 Saint Raphael Dr, Murrieta CA, 92562-8846. NPI Number Thomas Eugene Martin IDC has the Individual type.

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1073804084 NPI number is provided on an as is basis without warranty of any kind. 1073804084 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Eugene Martin IDC are for informational purposes only.