Tom Martin Md Sc | |
1050 Ml King Dr Suite 104 Centralia IL 62801-3060 | |
(618) 532-6330 | |
(618) 532-7227 |
Full Name | Tom Martin Md Sc |
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Speciality | Internal Medicine |
Location | 1050 Ml King Dr, Centralia, Illinois |
Authorized Official Name and Position | Tom D Martin (MD INTERNIST) |
Authorized Official Contact | 6185326330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tom Martin Md Sc 1050 Ml King Dr Suite 104 Centralia IL 62801-3060 Ph: (618) 532-6330 | Tom Martin Md Sc 1050 Ml King Dr Suite 104 Centralia IL 62801-3060 Ph: (618) 532-6330 |
NPI Number | 1073810354 |
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Provider Enumeration Date | 02/22/2011 |
Last Update Date | 04/11/2011 |
Identifier | Type | State | Issuer |
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1073810354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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The Surgery Center Of Centralia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1045 Martin Luther King Dr, Centralia, IL 62801 Phone: 618-532-3110 Fax: 618-532-3110 | |
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