Provider Demographics
NPI:1417695487
Name:DE CAMPS MARTINEZ, ELMER RAFAEL (MD)
Entity Type:Individual
Prefix:MR
First Name:ELMER
Middle Name:RAFAEL
Last Name:DE CAMPS MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1350 EAST MARKET STREET
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483
Mailing Address - Country:US
Mailing Address - Phone:330-695-5714
Mailing Address - Fax:330-695-5721
Practice Address - Street 1:1350 EAST MARKET STREET
Practice Address - Street 2:7TH FLOOR
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483
Practice Address - Country:US
Practice Address - Phone:330-841-9647
Practice Address - Fax:330-841-9645
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program