Individual
MICHAEL R MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 678-3237
(303) 678-3225
Mailing address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 678-3237
(303) 678-3225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31932
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007019
KAISER-COMMERCIAL NUMBER
—
05
—
01319326
—
CO
Enumeration date
02/16/2007
Last updated
11/08/2007
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