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NPI Code Detail

MEDICARE: LOUIS F. MARTIN M.D.

MEDICARE: LOUIS F. 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
1208600000XSurgery PhysicianMD00015858WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336147727
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUIS F. MARTIN M.D.
Provider Business Mailing Address
First Line : 1550 S PIONEER WAY
Second Line : SUITE 370
City : MOSES LAKE
State : WA
Zip : 98837-4613
Country : US
Telephone Number : 509-764-2928
Fax Number : 509-764-2929
Provider Business Practice Location Address
First Line : 1550 S PIONEER WAY
Second Line : SUITE 370
City : MOSES LAKE
State : WA
Zip : 98837-4613
Country : US
Telephone Number : 509-764-2928
Fax Number : 509-764-2929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 07/23/2008

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Directions to “ LOUIS F. MARTIN M.D.” Practice Location

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