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NPI Code Detail

MEDICARE: PAUL DAVID MARTIN M.D.

MEDICARE:   PAUL DAVID 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
1207L00000XAnesthesiology PhysicianG5335TX
2207L00000XAnesthesiology PhysicianC41949CA

Other Identifiers

General Provider Information

NPI Number : 1851391940
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL DAVID MARTIN M.D.
Provider Business Mailing Address
First Line : 14525 SW MILLIKAN WAY # 44569
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-2343
Country : US
Telephone Number : 971-238-0962
Fax Number : 866-268-6927
Provider Business Practice Location Address
First Line : 300 PASTEUR DR
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-2203
Country : US
Telephone Number : 650-723-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 10/06/2011

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Directions to “ PAUL DAVID MARTIN M.D.” Practice Location

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