Samantha Martin, PA-C
Physician Assistant in Austin, MN. Individual provider (NPI-1).
NPI number1952933822
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1952933822
- Entity type
- Individual (NPI-1)
- Name
- Samantha Martin
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 14080 | MN | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
1000 1st Dr NwAustin, MN 55912-2941
Phone 507-433-7351
Mailing address
1000 1st Dr NwAustin, MN 55912-2941
Phone 507-433-7351
Other practice locations
12300 Metcalf Ave
Overland Park, KS 66213-1324
Overland Park, KS 66213-1324
Phone 816-251-5100
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