Dr. Philip Eugene Martin, MD
Internal Medicine in Shawnee, KS. Individual provider (NPI-1).
NPI number1245308329
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1245308329
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip Eugene Martin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2006
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 0421167 | KS | Yes |
| 207Q00000X | Family Medicine | 0421167 | KS |
Practice location
6815 Hilltop RdSte 100
Shawnee, KS 66226
Phone 913-632-9600 · Fax 913-632-9695
Mailing address
6815 Hilltop Rd Ste 100Shawnee, KS 66226-3551
Phone 913-632-9600 · Fax 913-632-9659
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