| Doctor Name: | THOMAS O MARTIN |
| NPI Number: | 1174625875 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 14840 |
| Business Practice Address: | 5000 N 26th St Ste 300 Lincoln, NE - 685214749 |
| Business Phone Number: | 4024352060 |
| Business Fax Number: | 4024352046 |
| Mailing Address: | 8055 O St, Ste 300 LINCOLN |
| State: | NE |
| Postal Code: | 685102580 |
| Phone Number: | 4024210896 |
| Fax Number: | 4024210945 |
| NPI Enumeration Date: | 09/02/2006 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |