Dr. Tom Pearce Martin, M.D.
Clinic/Center, Emergency Care in Junction, IL. Individual provider (NPI-1).
NPI number1083875751
StatusActive
Last updated in NPPESJun 24, 2008
Details
- NPI
- 1083875751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tom Pearce Martin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2008
- Last updated
- Jun 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0002X | Clinic/Center, Emergency Care | 036-049331 | IL | Yes |
Practice location
10900 Porter LnJunction, IL 62954-2200
Phone 618-269-4034
Mailing address
10900 Porter LnJunction, IL 62954-2200
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