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Individual

DR. JOAN B MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9400 W 10TH AVE, LAKEWOOD, CO 80215-4700
(303) 339-0093
Mailing address
9400 W 10TH AVE, LAKEWOOD, CO 80215-4700
(303) 339-0093

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23153
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01231539
CO
Enumeration date
02/27/2007
Last updated
10/07/2014
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