| Jonathan Martinez, | |
|
10 Missile Ave, Minot Afb, ND 58705-5003 | |
| (701) 723-5491 | |
| (701) 723-5391 |
| Full Name | Jonathan Martinez |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 10 Missile Ave, Minot Afb, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659753952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 38529 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 29746 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Martinez, 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (210) 916-0887 | Jonathan Martinez, 10 Missile Ave, Minot Afb, ND 58705-5003 Ph: (701) 723-5491 |
Dr. Susan Lynne Farber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Missle Ave, Minot Afb, ND 58705 Phone: 701-723-5454 Fax: 701-723-5769 |
Amanda Shermaine Oliver, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Missile Ave, Minot Afb, ND 58705 Phone: 701-723-5221 |