| Peter J Martin | |
|
N. 115 Crosby St. Tekoa WA 99033-0629 | |
| (509) 284-2423 | |
| (509) 284-3434 |
| Full Name | Peter J Martin |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | N. 115 Crosby St., Tekoa, Washington |
| Authorized Official Name and Position | Peter J Martin (ADMINISTRATOR) |
| Authorized Official Contact | 5092842423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Martin Po Box 629 Tekoa WA 99033-0629 Ph: (509) 284-2423 | Peter J Martin N. 115 Crosby St. Tekoa WA 99033-0629 Ph: (509) 284-2423 |
| NPI Number | 1366768046 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366768046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
Peter J. Martin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: North 115 Crosby Street, Tekoa, WA 99033 Phone: 509-284-2423 |