Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn William Martin, PA-C

Individual provider Physician Assistant · NPI 1972692184

Glenn William Martin, PA-C is a Physician Assistant in Farmington, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2700 Farmington Ave
Farmington, NM 87401-4559
Phone: (505) 325-1100
Fax: (505) 325-5044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 77 PA 005 NM (NM)

Record details

NPI number1972692184
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 8, 2007

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