| Robert E Martin, Md Apc | |
|
501 N Knik St Wasilla AK 99654-7050 | |
| (907) 376-5284 | |
| (907) 373-2464 |
| Full Name | Robert E Martin, Md Apc |
|---|---|
| Speciality | Family Medicine |
| Location | 501 N Knik St, Wasilla, Alaska |
| Authorized Official Name and Position | Robert Edward Martin (PRESIDENT) |
| Authorized Official Contact | 9073765284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Martin, Md Apc 501 N Knik St Wasilla AK 99654-7050 Ph: (907) 376-5284 | Robert E Martin, Md Apc 501 N Knik St Wasilla AK 99654-7050 Ph: (907) 376-5284 |
| NPI Number | 1396991907 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396991907 | NPI | - | NPPES |
| MD1479 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1479 (Alaska) | Primary |
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