DAVID E MARTIN

POCATELLO, ID
NPI1215929690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA39)
Enumeration Date2005-08-22
Last Update Date2007-07-09
Business Address
-- DAVID E MARTIN PA-C
845 W CENTER ST SUITE 200
POCATELLO, ID 83204-4205
Phone number: 208-232-6260
Mailing Address
-- DAVID E MARTIN PA-C
PO BOX 2377
POCATELLO, ID 83206-2377
Phone number: 208-232-7862
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