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NPI Code Detail

MEDICARE: DR. PATRICK F MARTINEZ MD

MEDICARE:  DR. PATRICK F MARTINEZ  MD
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
1207Q00000XFamily Medicine Physician3534AK
2207P00000XEmergency Medicine PhysicianMD26613OR

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 : 1518901321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK F MARTINEZ MD
Provider Business Mailing Address
First Line : 18627 MAN O WAR RD
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-8336
Country : US
Telephone Number : 907-696-6312
Fax Number :
Provider Business Practice Location Address
First Line : 4951 BUSINESS PARK BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-7174
Country : US
Telephone Number : 907-743-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 05/24/2021

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Directions to “ DR. PATRICK F MARTINEZ MD” Practice Location

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