Individual
NELL F MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2021 N 12TH ST, GRAND JUNCTION, CO 81501-2980
(970) 242-0920
Mailing address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 260-4066
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48870871
—
UT
05
—
T0202
—
UT
Enumeration date
04/13/2006
Last updated
08/14/2018
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