Individual provider · Type 1 NPI
Tom Pearce Martin, MD
Emergency Care Clinic/Center · Junction, IL
NPI number
1083875751
Active
Practice location
10900 Porter Ln
Junction, IL 62954-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Care Clinic/Center Primary | 261QE0002X | 036-049331 (IL) |
Emergency Care Clinic/Center: Definition to come...
About NPI 1083875751
Tom Pearce Martin, MD's National Provider Identifier is 1083875751, issued on Jun 24, 2008. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Junction, IL. The record was last updated on Jun 24, 2008.