Glenn W. Martin, PA-C.
Physician Assistant · Farmington, NM
UnclaimedPA-C.NPI 1972692184
- Primary taxonomy
- 363A00000X
- Enumerated
- 2006-10-12
- Practice location
- Farmington, NM
- Last NPPES update
- 2007-07-08
State licenses
- CO · Physician assistant · PAExpiredthrough 2008verify
- NM · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.