| Martin Family Medicine Llc | |
|
1625 5th St Clarkston WA 99403-3001 | |
| (509) 751-9981 | |
| (509) 751-9983 |
| Full Name | Martin Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1625 5th St, Clarkston, Washington |
| Authorized Official Name and Position | David Barclay Martin (PHYSICIAN) |
| Authorized Official Contact | 5097519981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Family Medicine Llc 1625 5th St Clarkston WA 99403-3001 Ph: (509) 751-9981 | Martin Family Medicine Llc 1625 5th St Clarkston WA 99403-3001 Ph: (509) 751-9981 |
| NPI Number | 1710118542 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 1658400429 |
|---|---|
| Medicare Enrollment ID | O20100603000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710118542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Barclay Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083652846 PECOS PAC ID: 3577469139 Enrollment ID: I20031212000442 |
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