Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM MARTIN, MD
Active Sole ProprietorSAM MARTIN, MD is a Interventional Vascular Surgery healthcare provider located in BRENTWOOD, Missouri. NPI 1154376788 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · BRENTWOOD, MO
Registration Details
- NPI Number
- 1154376788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.237481601688 yrs)
- Last Updated
- Aug 18, 2014
- License
-
2005010629 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2025 S BRENTWOOD BLVDSUITE 200BRENTWOOD, MO, 631441833Browse MO providers · Browse ZIP 63144
- Phone
- 3149181688
- Fax
- 8442724251
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.