Eric Martin, Md P.c | |
2900 Doctors Park Dr Suite 100 Medford OR 97504-8198 | |
(541) 772-6600 | |
(541) 779-1266 |
Full Name | Eric Martin, Md P.c |
---|---|
Speciality | Clinic/Center |
Location | 2900 Doctors Park Dr, Medford, Oregon |
Authorized Official Name and Position | Eric Martin (OWNER) |
Authorized Official Contact | 5417726600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eric Martin, Md P.c 2900 Doctors Park Dr Suite 100 Medford OR 97504-8198 Ph: (541) 772-6600 | Eric Martin, Md P.c 2900 Doctors Park Dr Suite 100 Medford OR 97504-8198 Ph: (541) 772-6600 |
NPI Number | 1275767055 |
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Provider Enumeration Date | 05/08/2009 |
Last Update Date | 07/13/2009 |
Medicare PECOS PAC ID | 3173675824 |
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Medicare Enrollment ID | O20090710000373 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275767055 | NPI | - | NPPES |
056619 | Medicaid | OR | |
001930001 | Other | OR | BCBS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MD18457 (Oregon) | Primary |
Provider Name | Eric L Martin |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1760587372 PECOS PAC ID: 3173628328 Enrollment ID: I20090529000095 |
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