Search › Missouri › 173C00000X
Cory Martin
NPI 1326490038 · on the registry since 2016 · sole proprietor
Practice
- Address
- 309 W Carman Rd
El Dorado Springs, MO 64744 - Phone
- (417) 296-1192
Registry record
- Primary taxonomy
- 173C00000X
173C00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri