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Willard Fraser Martin II
Surgical Physician Assistant in Rockville, Maryland
NPI 1558527333

Willard Fraser Martin II is a Surgical Physician Assistant based in Poolesville, MD and is specialized in Surgical. Willard Fraser Martin II practices in Rockville, MD. The NPI Number for Willard Fraser Martin II is 1558527333 and holds a License No. C0000605 (Maryland).

The current practice location address for Willard Fraser Martin II is 9901 Medical Center Dr, Rockville, MD and can be reached out via phone at 301-946-6688.

Location: 9901 Medical Center Dr, Rockville, MD, 20837-2280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558527333
Provider Name
Willard Fraser Martin II
Credential
Provider Entity Type
Individual
Gender
Male
Address
9901 Medical Center Dr, Rockville, MD, 20837-2280
Phone Number
301-946-6688
Fax Number
Provider Enumeration Date
07/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9901 Medical Center Dr
City
Rockville
State
Maryland
Zip
20850-3357
Phone Number
301-946-6688
Fax Number
person
Provider Business Mailing Address Details
Address
9901 Medical Center Dr
City
Rockville
State
Maryland
Zip
20850-3357
Phone Number
301-946-6688
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
C0000605 (Maryland)
Definition
Definition to come...
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