Individual
BRADLEY J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2695 ROCKY MOUNTAIN AVE, SUITE 200, LOVELAND, CO 80538-8702
(970) 667-7664
(970) 622-9843
Mailing address
2695 ROCKY MOUNTAIN AVE, SUITE 200, LOVELAND, CO 80538-8702
(970) 667-7664
(970) 622-9843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004502
CO
Other
Enumeration date
07/14/2014
Last updated
01/15/2016
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