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Individual

TRAVIS PATRICK MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1850 E WASHINGTON ST, COLTON, CA 92324-4621
(909) 887-2991
(909) 887-2991
Mailing address
1111 6TH AVE SUITE 505, PMB 692133, SAN DIEGO, CA 92101-5209
(951) 724-4947
(443) 342-2919

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A184909
CA
208VP0000X
Pain Medicine Physician
Primary
A184909
CA

Other

Enumeration date
04/12/2019
Last updated
04/15/2026
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