Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | R75452 | AZ |
Y | 111NI0900X | Internist | R75452 | AZ |
NPI | 1003263583 |
---|---|
Provider Name | Dr. Adriana A.t. Martin |
First Address | Tucson, AZ 85724-0001 |
Second Address | Tucson, AZ 85724-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2016 |
Last Update Date | 26/06/2019 |