Individual provider · Type 1 NPI

Elisa R. Martinez, PA

Medical Physician Assistant · Modesto, CA

NPI number 1720061716 Active

Practice location

2101 Tenaya Dr
Modesto, CA 95354-3930

Call (209) 576-6766 Map

Fax (209) 576-6776

Mailing address

737 W Childs Ave
Merced, CA 95340-6805

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA12678 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1720061716

Elisa R. Martinez, PA's National Provider Identifier is 1720061716, issued on Nov 22, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Modesto, CA. The record was last updated on Nov 7, 2013.