| Doctor Name: | DR. MARTIN JAN PRYOR |
| NPI Number: | 1831459940 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O., M.P.H. |
| License Number: | 2012033013 |
| Business Practice Address: | 315 S. Osteopathy Street Attn: Gme Kirksville, MO - 635010491 |
| Business Phone Number: | 8082037019 |
| Business Fax Number: | |
| Mailing Address: | Po Box 491, KIRKSVILLE |
| State: | MO |
| Postal Code: | 635010491 |
| Phone Number: | 8082037019 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2012 |
| NPI Last Update Date: | 07/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 2012033013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |