James Robert Martin, MPAS
Physician Assistant in St George, UT. Individual provider (NPI-1).
NPI number1427157148
StatusActive
Last updated in NPPESMar 12, 2015
Details
- NPI
- 1427157148
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Robert Martin
- Credential
- MPAS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Mar 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 288527-1206 | UT | Yes |
| 2080A0000X | Pediatrics, Adolescent Medicine | 288527-1206 | UT |
Practice location
1490 E Foremaster DrSte 150
St George, UT 84790-4488
Phone 435-628-9393 · Fax 435-628-9382
Mailing address
1055 N 500 WProvo, UT 84604-3305
Phone 435-628-9393 · Fax 435-628-9382
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