Individual
DR. GARY L MARTINSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, PHD
Contact information
Practice address
101 BODIN CIR, 60 MDG/SGPE, TRAVIS AFB, CA 94535-1809
(707) 423-7141
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9400
CA
Other
Enumeration date
01/13/2006
Last updated
10/12/2014
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