Female

Ms. Theresa A. Griffin Martin PAC

Physician Assistant in Youngstown, OH(View on Map)

Full Name

Ms. Theresa Ann Griffin Martin PAC

NPI Number

1952398232

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/03/2005

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

50.000540RX

Contact
Information

Purpose

Mailing
Location

Address

238 S MERIDIAN RD STE B
238 S MERIDIAN RD STE B

City

Youngstown
Youngstown

State

OH
OH

Postal Code

44509-2925
44509-2925

Country

US
US

Telephone Number

(330) 754-3217
(330) 754-3217

Identifiers

Identifier

0073657

Identifier State

OH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2022

Provider Address

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