Individual
BRUCE W MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 SUMMIT VIEW DR., DACONO, CO 80514
(303) 925-4150
(303) 925-4152
Mailing address
3101 SUMMIT VIEW DR., DACONO, CO 80514
(303) 925-4150
(303) 925-4152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301044691
MI
207Q00000X
Family Medicine Physician
Primary
54105
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107987
—
MI
Enumeration date
06/01/2005
Last updated
10/08/2014
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