Search › Idaho › 253J00000X
Gary Martin
NPI 1073226437 · on the registry since 2022 · sole proprietor
Practice
- Address
- 516 Laurel Lane
Naples, ID 83847 - Phone
- (208) 610-1686
Registry record
- Primary taxonomy
- 253J00000X
253J00000X
- Also registered as
- 253Z00000X
310400000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho