Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN MARTINEZ
Active Sole ProprietorPediatrics · MINOT AFB, ND
Registration Details
- NPI Number
- 1659753952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2015 (10.889868897432 yrs)
- Last Updated
- Apr 22, 2021
- Licenses
-
38529 (SC)29746 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 MISSILE AVEMINOT AFB, ND, 587055003Browse ND providers · Browse ZIP 58705
- Phone
- 7017235491
- Fax
- 7017235391
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in MINOT AFB, ND
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN LYNNE FARBER | MD | 1366424780 |
| AMANDA SHERMAINE OLIVER | DO | 1427634468 |
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.