HAROLD MARTIN

GOODYEAR, AZ
NPI1154041499
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  229049)
Enumeration Date2022-08-29
Last Update Date2022-08-29
Business Address
HAROLD MARTIN
546 S 167TH LN
GOODYEAR, AZ 85338-4554
Phone number: 314-475-8535
Mailing Address
HAROLD MARTIN
546 S 167TH LN
GOODYEAR, AZ 85338-4554
Phone number: