Walter A. Martin CRNA

NPI 1003969585 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1003969585
Gender Male
Enumeration Date 01/19/2007
Last Updated 10/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
251 E ANTIETAM ST
HAGERSTOWN MD, 21740-5724, US
Phone (302) 709-4497
Fax (302) 733-0854
Business Location
251 E ANTIETAM ST
HAGERSTOWN MD, 21740-5724, US
Phone (302) 709-4497
Fax (302) 733-0854
Toxanomy
Taxonomy Code 367500000X
License State Maryland
License Number R148205
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According to our database, Walter A. Martin CRNA NPI is 1003969585, taxonomy code is 367500000X and license number is R148205, license state is located at Maryland. Walter A. Martin CRNA physically located at 251 E Antietam St, Hagerstown MD, 21740-5724. NPI Number Walter A. Martin CRNA has the Individual type.

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1003969585 NPI number is provided on an as is basis without warranty of any kind. 1003969585 is maintained by the National Plan & Provider Enumeration System. The contents of Walter A. Martin CRNA are for informational purposes only.