Individual
ERIK JASON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11851 N 51ST AVE STE E130, GLENDALE, AZ 85304-2843
(623) 703-4718
(623) 703-4718
Mailing address
11851 N 51ST AVE STE E130, GLENDALE, AZ 85304-2843
(623) 299-9540
(623) 299-9530
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
AP11628
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP11628
AZ
Other
Enumeration date
03/13/2018
Last updated
12/08/2023
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