Individual
MS. MARTHA E MONTOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 440-2690
Mailing address
1431 HARVEST DR, LAFAYETTE, CO 80026-9439
(303) 410-1354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
170100
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004278
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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