Search › Missouri › 103T00000X
Douglass Martin, ED.D
NPI 1649357211 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4013 Ne 57th Pl
Gladstone, MO 64119 - Phone
- (816) 536-1828
- Fax
- (816) 413-5305
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TA0400X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-01-20
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