Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 14-1464 | AZ |
NPI | 1043608839 |
---|---|
Provider Name | Dr. Beth A Martin |
First Address | Gilbert, AZ 85233-6324 |
Second Address | Gilbert, AZ 85233-6324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2014 |
Last Update Date | 31/12/2014 |