person
David E Martin, PA-C
Medical Physician Assistant in Pocatello, Idaho
NPI 1215929690

David E Martin is a Medical Physician Assistant based in Pocatello, ID and is specialized in Medical. David E Martin practices in Pocatello, ID and has the professional credentials of PA-C. The NPI Number for David E Martin is 1215929690 and holds a License No. PA39 (Idaho).

The current practice location address for David E Martin is 845 W Center St, Pocatello, ID and can be reached out via phone at 208-232-6260 and via fax at 208-232-6259.

Location: 845 W Center St, Pocatello, ID, 83206-2377
person
Provider Profile Details
NPI Number
1215929690
Provider Name
David E Martin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
845 W Center St, Pocatello, ID, 83206-2377
Phone Number
208-232-6260
Fax Number
208-232-6259
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0021913 05 ID
000010151329 01 ID BSI - POKY
PANR7 01 ID BCI - POKY
institution
Provider Business Practice Location Address Details
Address
845 W Center St
City
State
Zip
83204-4205
Phone Number
208-232-6260
Fax Number
208-232-6259
person
Provider Business Mailing Address Details
Address
845 W Center St
City
State
Zip
83204-4205
Phone Number
208-232-6260
Fax Number
208-232-6259
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA39 (Idaho)
Definition
Definition to come...
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