Doctor Name: | ANNE CATHERINE MARTIN-KO |
NPI Number: | 1063524460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD048496L |
Business Practice Address: | 260 Hospital Dr Suite 204 Ukiah, CA - 954824533 |
Business Phone Number: | 7074633470 |
Business Fax Number: | |
Mailing Address: | 260 Hospital Dr, Suite 207 UKIAH |
State: | CA |
Postal Code: | 954824533 |
Phone Number: | 7074638000 |
Fax Number: | 7074621111 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | MD048496L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |