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NPI Code Detail

MEDICARE: CADE MARTIN M.D.

MEDICARE: CADE MARTIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician2005-01723NC
22085R0202XDiagnostic Radiology PhysicianE5806AR

General Provider Information

NPI Number : 1285840819
Entity Type Code : Individual
Provider Name (Legal Business Name) : CADE MARTIN M.D.
Provider Business Mailing Address
First Line : 800 S CHURCH ST
Second Line : STE 101
City : JONESBORO
State : AR
Zip : 72401-4154
Country : US
Telephone Number : 877-798-3090
Fax Number :
Provider Business Practice Location Address
First Line : 225 E WASHINGTON AVE
Second Line :
City : JONESBORO
State : AR
Zip : 72401-3111
Country : US
Telephone Number : 870-910-6654
Fax Number : 870-932-0526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 11/17/2023

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