PHILLIP A MARTIN

BRISTOL, TN
NPI1225369440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  84226)
Enumeration Date2010-01-28
Last Update Date2014-04-22
Business Address
-- PHILLIP A MARTIN CRNA
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 423-844-2686
Mailing Address
-- PHILLIP A MARTIN CRNA
297 DAVIS RD
SHADY VALLEY, TN 37688-5090
Phone number: 423-844-2686
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