Individual provider · Type 1 NPI

Rickey Rodger Martin, PA

Medical Physician Assistant · Fort Leonard Wood, MO

NPI number 1023027737 Active

Practice location

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952

Call (573) 596-0417 Map

Fax (573) 596-0524

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1023027737

Rickey Rodger Martin, PA's National Provider Identifier is 1023027737, issued on Aug 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Jul 8, 2007.