Individual provider · Type 1 NPI

Shiloh Marie Martin, MD, PhD

Student in an Organized Health Care Education/Training Program · El Cerrito, CA

NPI number 1366764201 Active

Practice location

6374 Fairmount Ave
El Cerrito, CA 94530-5730

Call (510) 610-4553 Map

Mailing address

PO Box 2730
El Cerrito, CA 94530-5730

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366764201

Shiloh Marie Martin, MD, PhD's National Provider Identifier is 1366764201, issued on Feb 19, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Cerrito, CA. The record was last updated on May 9, 2016.