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Scott Luis Martin, PA
Medical Physician Assistant in Colton, California
NPI 1750711305

Scott Luis Martin is a Medical Physician Assistant based in Fountain Valley, CA and is specialized in Medical. Scott Luis Martin practices in Colton, CA and has the professional credentials of PA. The NPI Number for Scott Luis Martin is 1750711305 and holds a License No. PA23218 (California).

The current practice location address for Scott Luis Martin is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 909-580-1000.

Location: 400 N Pepper Ave, Colton, CA, 92708-6311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750711305
Provider Name
Scott Luis Martin
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
400 N Pepper Ave, Colton, CA, 92708-6311
Phone Number
909-580-1000
Fax Number
Provider Enumeration Date
11/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-1000
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA23218 (California)
Definition
Definition to come...
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