Organization
MARTIN MCDERMOTT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN DANIEL MCDERMOTT M.D. (OWNER)
(303) 857-2711
Entity
Organization
Contact information
Practice address
327 PARK AVE, FORT LUPTON, CO 80621-1929
(303) 857-2711
(303) 857-1408
Mailing address
327 PARK AVE, FORT LUPTON, CO 80621-1929
(303) 857-2711
(303) 857-1408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76628205
—
CO
Enumeration date
09/28/2006
Last updated
02/11/2008
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