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1366486722
TIMOTHY J MARTIN
ROLLA, MO
NPI
1366486722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MO 101609)
Enumeration Date
2006-06-16
Last Update Date
2019-08-22
Business Address
Dr. TIMOTHY J MARTIN MD
1050 W 10TH ST STE 500
ROLLA, MO 65401
Phone number: 573-308-1301
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Mailing Address
Dr. TIMOTHY J MARTIN MD
1050 W 10TH ST ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS
ROLLA, MO 65401-2905
Phone number: 573-364-9000
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