Jonathan Martinez, | |
10 Missile Ave, Minot Afb, ND 58705-5003 | |
(701) 723-5491 | |
(701) 723-5391 |
Full Name | Jonathan Martinez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 10 Missile Ave, Minot Afb, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659753952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 38529 (South Carolina) | Secondary |
208000000X | Pediatrics | 29746 (Nebraska) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jonathan Martinez, 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (210) 916-0887 | Jonathan Martinez, 10 Missile Ave, Minot Afb, ND 58705-5003 Ph: (701) 723-5491 |
Tara Robare, Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Missile Ave, Minot Afb, ND 58705 Phone: 701-723-5633 Fax: 701-723-5908 | |
Dr. Susan Lynne Farber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Missle Ave, Minot Afb, ND 58705 Phone: 701-723-5454 Fax: 701-723-5769 |