Individual
DR. TRAVIS W MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 945-6535
(970) 945-5429
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 384-7300
(970) 945-4529
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
19575
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01195759
—
CO
01
—
CO19575
COLORADO LICENSE
CO
01
—
VAH2004
BCBS PROVIDER
CO
Enumeration date
11/03/2006
Last updated
01/03/2014
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