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NPI Code Detail

MEDICARE: DR. JOSEPH N. MARTINEZ MD, PA-C, MPH

MEDICARE: DR. JOSEPH N. MARTINEZ MD, PA-C, MPH
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
1363AM0700XMedical Physician AssistantPA10004758WA
2207R00000XInternal Medicine PhysicianMD60977071WA

General Provider Information

NPI Number : 1295749729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH N. MARTINEZ MD, PA-C, MPH
Provider Business Mailing Address
First Line : 23320 HIGHWAY 99
Second Line :
City : EDMONDS
State : WA
Zip : 98026-8744
Country : US
Telephone Number : 425-640-5500
Fax Number : 425-640-5520
Provider Business Practice Location Address
First Line : 23320 HIGHWAY 99
Second Line :
City : EDMONDS
State : WA
Zip : 98026-8744
Country : US
Telephone Number : 425-640-5500
Fax Number : 425-640-5520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 04/29/2020

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