NPI 1457346793 · live from the CMS NPI Registry
Patrick Allen Martin, MD
Family Medicine in Los Alamos, NM. National Provider Identifier 1457346793, active.
NPI record
| NPI | 1457346793 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2610 Trinity Dr Ste 14, Los Alamos, NM 87544 |
| Practice phone | 505-500-8213 |
| Enumerated | September 13, 2005 |
| Last updated | April 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | MD2004-0503 (NM) |
| Family Medicine primary | 207Q00000X | MD20040503 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.