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Brooke G Martin, PA

Physician Assistant, Medical in Albuquerque, NM. Individual provider (NPI-1).

NPI number1902831985
StatusActive
Last updated in NPPESJan 31, 2019

Details

NPI
1902831985
Entity type
Individual (NPI-1)
Name
Brooke G Martin
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2006
Last updated
Jan 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical78-PA005NMYes

Practice location

5150 Journal Center Blvd Ne
Albuquerque, NM 87109-5900

Phone 505-262-3233 · Fax 505-262-3191

Mailing address

Po Box 26028
Albuquerque, NM 87125-6028

Phone 505-262-7963 · Fax 505-232-1627

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