GLENN WILLIAM MARTIN

FARMINGTON, NM
NPI1972692184
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  77 PA 005 NM)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- GLENN WILLIAM MARTIN PA-C.
2700 FARMINGTON AVE
FARMINGTON, NM 87401-4559
Phone number: 505-325-1100
Mailing Address
-- GLENN WILLIAM MARTIN PA-C.
4971 COUNTY ROAD 250
DURANGO, CO 81301-8620
Phone number: 970-247-2982
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