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General NPI Number Information
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NPI Number | 1336147727
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Entity Type | Individual
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Provider Name | LOUIS F. MARTIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 1550 S PIONEER WAY SUITE 370
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City | MOSES LAKE
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State | WA
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Zip | 98837-4613
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Country | US
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Telephone | 509-764-2928
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Fax | 509-764-2929
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Provider Business Mailing Address
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Address Line | 1550 S PIONEER WAY SUITE 370
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City | MOSES LAKE
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State | WA
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Zip | 98837-4613
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Country | US
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Telephone | 509-764-2928
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Fax | 509-764-2929
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD00015858
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License Number State | WA
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