Search › Arizona › 225100000X
Theodore Martin
NPI 1992257695 · on the registry since 2016 · sole proprietor
Practice
- Address
- 39 6th Avenue
Page, AZ 86040 - Phone
- (928) 812-0152
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-28
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 Arizona