Individual provider · Type 1 NPI

Cory M. Martin, PA-C

Physician Assistant · Meridian, ID

NPI number 1629201249 Active

Practice location

3025 W Cherry Lane, Ste B
Meridian, ID 83642

Call (208) 367-8550 Map

Fax (208) 367-8555

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10001138A (IN)
Physician Assistant Primary 363A00000XPA-1177 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629201249

Cory M. Martin, PA-C's National Provider Identifier is 1629201249, issued on Aug 30, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Meridian, ID. The record was last updated on Aug 5, 2014.