Individual provider · Type 1 NPI
Peter J. Martin
Medical Physician Assistant · Tekoa, WA
NPI number
1194857532
Active
Practice location
N. 115 Crosby
Tekoa, WA 99033-0629
Fax (509) 284-3434
Mailing address
PO Box 629
Tekoa, WA 99033-0629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 025211PA10000093 (WA) |
Medical Physician Assistant: Definition to come...
About NPI 1194857532
Peter J. Martin's National Provider Identifier is 1194857532, issued on Mar 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tekoa, WA. The record was last updated on Nov 4, 2013.