Provider Demographics
NPI:1740260173
Name:BURKHOLDER, MARTHA PAGE (MD)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:PAGE
Last Name:BURKHOLDER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:839 W CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2819
Mailing Address - Country:US
Mailing Address - Phone:520-670-3909
Mailing Address - Fax:520-309-2560
Practice Address - Street 1:1230 S CHERRYBELL STRA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-1907
Practice Address - Country:US
Practice Address - Phone:520-309-3308
Practice Address - Fax:520-309-2560
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ520402084P0800X
NY1429472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF61788Medicare UPIN