Search › Idaho › 363A00000X
Cory Martin, PA-C
NPI 1629201249 · on the registry since 2009
Practice
- Address
- 3025 W Cherry Lane
Ste B
Meridian, ID 83642 - Phone
- (208) 367-8550
- Fax
- (208) 367-8555
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IN, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-05
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