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Joseph E Martin, PA
Medical Physician Assistant in Fort Bragg, California
NPI 1649391889

Joseph E Martin is a Medical Physician Assistant based in Fort Bragg, CA and is specialized in Medical. Joseph E Martin practices in Fort Bragg, CA and has the professional credentials of PA. The NPI Number for Joseph E Martin is 1649391889 and holds a License No. PA15841 (California).

The current practice location address for Joseph E Martin is 205 South St, Fort Bragg, CA and can be reached out via phone at 707-964-1251 and via fax at 707-961-2722.

Location: 205 South St, Fort Bragg, CA, 95437-5540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649391889
Provider Name
Joseph E Martin
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
205 South St, Fort Bragg, CA, 95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC03967F 05 CA
EF732Z 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
205 South St
City
Fort Bragg
State
California
Zip
95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
person
Provider Business Mailing Address Details
Address
205 South St
City
Fort Bragg
State
California
Zip
95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA15841 (California)
Definition
Definition to come...
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