Misha Lee Taber Martinez
M.D. | Pediatrics | Female
Misha Lee Taber Martinez, M.D. is a Granite City, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Misha Lee Taber Martinez is
3165 Myrtle Ave Ste 2, Granite City, Illinois - 62040-5012. She can be contacted on phone at
618-876-7500 and fax number 618-876-0807.
Misha Lee Taber Martinez is a sole proprietor of her business.
NPI number (Unique professional ID) for Misha Lee Taber Martinez is
1528221082 which was assigned by NPPES on 04 Jul, 2008 and it was last updated on 26 Jan, 2015.
Misha Lee Taber Martinez license number is
036-129509 for Pediatrics (208000000X) in Illinois.
Misha Lee Taber Martinez is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Misha Lee Taber Martinez basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Misha Lee Taber Martinez |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Misha Lee Taber Martinez address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3165 Myrtle Ave Ste 2
Granite City, IL, 62040-5012
United States |
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| Phone Number : | 618-876-7500 |
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| Fax Number : | 618-876-0807 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1528221082 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jul, 2008 |
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| Last Updated On : | 26 Jan, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Misha Lee Taber Martinez are as mentioned. Primary taxonomy code for Misha Lee Taber Martinez, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2011012182 | MO |
| 208000000X | Pediatrics | Yes | 036-129509 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3165 Myrtle Ave Ste 2
Granite City, IL, 62040-5012
United States |
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| Phone Number : | 618-876-7500 |
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| Fax Number : | 618-876-0807 |
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Business Location:
Patients can refer following map for directions to
Misha Lee Taber Martinez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.