NPI 1972580710

David R. Marty, MD

Practitioner Otolaryngology Physician Jefferson City, MO

Practice location

Address: 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Phone: (573) 556-7708
Fax: (573) 893-8061
Mailing address: PO Box 104240, Jefferson City, MO 65110-4240

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence R7197 (MO)

Other Otolaryngology providers in Missouri →

Registry record

NPI: 1972580710
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2005
Record last updated: 7 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.