| David W. Martin, M.d., P.s.c. | |
|
255 Church Street Suite 203 Pikeville KY 41501 | |
| (606) 432-2872 | |
| (606) 432-1343 |
| Full Name | David W. Martin, M.d., P.s.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 255 Church Street, Pikeville, Kentucky |
| Authorized Official Name and Position | David Wendell Martin (OWNER) |
| Authorized Official Contact | 6064322872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David W. Martin, M.d., P.s.c. Po Box 3219 Pikeville KY 41502 Ph: (606) 432-2872 | David W. Martin, M.d., P.s.c. 255 Church Street Suite 203 Pikeville KY 41501 Ph: (606) 432-2872 |
| NPI Number | 1841418803 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841418803 | NPI | - | NPPES |
| 000000042976 | Other | KY | BLUE CROSS BLUE SHIELD |
| 1529561 | Other | KY | UMWA |
| 64343593 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34359 (Kentucky) | Primary |
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