Individual provider · Type 1 NPI

David E. Martin, PA-C

Medical Physician Assistant · Pocatello, ID

NPI number 1215929690 Active

Practice location

845 W Center St, Suite 200
Pocatello, ID 83204-4205

Call (208) 232-6260 Map

Fax (208) 232-6259

Mailing address

PO Box 2377
Pocatello, ID 83206-2377

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA39 (ID)

Medical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1215929690

David E. Martin, PA-C's National Provider Identifier is 1215929690, issued on Aug 22, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Jul 9, 2007.