LAURENCE MARTIN

FORT DEFIANCE, AZ
NPI1871597682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TN  27766)
Enumeration Date2005-06-09
Last Update Date2014-10-23
Business Address
-- LAURENCE MARTIN MD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8710
Mailing Address
-- LAURENCE MARTIN MD
P.O. BOX 589 FORT DEFIANCE INDIAN HOSPITAL BOARD
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000