| Organization Name: | DR. RICHARD L. MARTIN JR L.L.C |
| NPI Number: | 1184833386 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH LYNN MARTIN (OFFICE MANAGER) |
| Mailing Address: | 107 Plaza Dr Ste S Saint Clairsville |
| State: | OH US |
| Postal Code: | 439508786 |
| Phone Number: | 7406954410 |
| Fax Number: | 7406955440 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 36003308M |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |