| Leona M Martin Md Pllc | |
|
1841 W 25th St Ste B Yuma AZ 85364-6910 | |
| (928) 726-8600 | |
| (928) 726-8610 |
| Full Name | Leona M Martin Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1841 W 25th St, Yuma, Arizona |
| Authorized Official Name and Position | Leona Martin (MD) |
| Authorized Official Contact | 9287268600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leona M Martin Md Pllc 1841 W 25th St Ste B Yuma AZ 85364-6910 Ph: (928) 726-8600 | Leona M Martin Md Pllc 1841 W 25th St Ste B Yuma AZ 85364-6910 Ph: (928) 726-8600 |
| NPI Number | 1518023100 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 09/23/2014 |
| Medicare PECOS PAC ID | 7517967813 |
|---|---|
| Medicare Enrollment ID | O20070111000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518023100 | NPI | - | NPPES |
| 154500 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21951 (Arizona) | Primary |
| Provider Name | Leona M Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255389052 PECOS PAC ID: 0749204147 Enrollment ID: I20060227000499 |
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