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Contact Information

FREDRICK A MARTIN, MD
813 FOUNDERS PARK DR E STE 107
SPRINGDALE, AR72762-6321
 Phone: 479-463-6600
 Fax: 479-463-6624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FREDRICK A MARTIN · (Male)

NPI # 1407815467
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2006
Last updated 09/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AR License # C-6262
  • AR License # C6262
  • AR Medicaid 116105001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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