Jonathan Martinez

Individual provider Surgery Physician · NPI 1659753952

Jonathan Martinez is a Surgery Physician in Minot AFB, North Dakota. Practices as a sole proprietor and works from 2 locations. Licensed in Nebraska and South Carolina.

Licensed in: NE, SC
In the registry since: 2015
Specialties on file: 2

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Practice location Address checks out

10 Missile Ave
Minot AFB, ND 58705-5003
Phone: (701) 723-5491
Fax: (701) 723-5391

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

169 Ashley Ave, Charleston, SC 29425-8905 — (843) 792-3072

Specialties & licences

Pediatrics Physician (primary)	Taxonomy 208000000X · Licence 29746 (NE)
Surgery Physician	Taxonomy 208600000X · Licence 38529 (SC)

Record details

NPI number	1659753952
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	June 23, 2015
Last updated in NPPES	April 22, 2021
Certification date	April 22, 2021