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Stephanie Ruth Martindale, PA
Medical Physician Assistant in Baltimore, Maryland
NPI 1477510808

Stephanie Ruth Martindale is a Medical Physician Assistant based in Baltimore, MD and is specialized in Medical. Stephanie Ruth Martindale practices in Baltimore, MD and has the professional credentials of PA. The NPI Number for Stephanie Ruth Martindale is 1477510808 and holds a License No. 969 (Maryland).

The current practice location address for Stephanie Ruth Martindale is 4940 Eastern Ave, Baltimore, MD and can be reached out via phone at 410-550-0500.

Location: 4940 Eastern Ave, Baltimore, MD, 21264-4362
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Provider Profile Details
NPI Number
1477510808
Provider Name
Stephanie Ruth Martindale
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4940 Eastern Ave, Baltimore, MD, 21264-4362
Phone Number
410-550-0500
Fax Number
Provider Enumeration Date
04/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970028541 01 OK RR MEDICARE
970028542 01 OK RR MEDICARE
100850300A 05 OK
institution
Provider Business Practice Location Address Details
Address
4940 Eastern Ave
City
State
Zip
21224-2735
Phone Number
410-550-0500
Fax Number
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Provider Business Mailing Address Details
Address
4940 Eastern Ave
City
State
Zip
21224-2735
Phone Number
410-550-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
969 (Oklahoma)
Definition
Definition to come...
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