Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER J MARTIN
Active Sole ProprietorPETER J MARTIN is a Medical Physician Assistant healthcare provider located in TEKOA, Washington. NPI 1194857532 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · TEKOA, WA
Registration Details
- NPI Number
- 1194857532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2007 (19.442530297497 yrs)
- Last Updated
- Nov 4, 2013
- License
-
025211PA10000093 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N. 115 CROSBYTEKOA, WA, 990330629Browse WA providers · Browse ZIP 99033
- Phone
- 5092842423
- Fax
- 5092843434
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.