Individual
JUSTIN ANTHONY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
717 ENCINO PL NE STE 12, ALBUQUERQUE, NM 87102-2638
(866) 606-3867
Mailing address
101 HOSPITAL LOOP NE STE 209, ALBUQUERQUE, NM 87109-2128
(505) 848-3773
(505) 848-3741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0009075
CO
363A00000X
Physician Assistant
Primary
PA2022-0121
NM
Other
Enumeration date
02/28/2022
Last updated
03/04/2025
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