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Christine E Martin, PA-C

Physician Assistant, Medical in Dayton, OH. Individual provider (NPI-1).

NPI number1104841626
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104841626
Entity type
Individual (NPI-1)
Name
Ms. Christine E Martin
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical000923OHYes

Practice location

4100 W 3rd St
Dvamc -7south
Dayton, OH 45428

Phone 937-268-6511

Mailing address

1112 Old Mill Ln
Dayton, OH 45432

Phone 937-426-0580

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