SearchNorth Dakota208000000X

Jonathan Martinez

NPI 1659753952 · on the registry since 2015 · sole proprietor

Practice

Address
10 Missile Ave
Minot Afb, ND 58705
Phone
(701) 723-5491
Fax
(701) 723-5391
Organisation at this address
Dfas-Jfll/In
5th Medgrp-Minot
5th Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Additional practice sites

  • 169 Ashley Ave, Charleston, SC

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208600000X
Licence states on file
SC, NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-22

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 North Dakota