Individual provider · Type 1 NPI

Jerry Vann Martin, MD

Emergency Medical Services (Emergency Medicine) Physician · Fremont, CA

NPI number 1013172733 Active

Practice location

2500 Mowry Ave, Suite 212
Fremont, CA 94538-1605

Fax (510) 745-6435

Mailing address

7079 Homewood Dr
Oakland, CA 94611-1451

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XA23873 (CA)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1013172733

Jerry Vann Martin, MD's National Provider Identifier is 1013172733, issued on Jul 22, 2008. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Fremont, CA. The record was last updated on Feb 3, 2009.