Individual
JOHN A MARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 N CASCADE AVE, COLORADO SPRINGS, CO 80907-6736
(719) 776-5000
(719) 448-0767
Mailing address
PO BOX 820, COLORADO SPRINGS, CO 80901-0820
(719) 448-0981
(719) 448-0767
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17751
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01177518
—
CO
01
—
050042778
RAILROAD MEDICARE NUMBER
CO
Enumeration date
03/08/2006
Last updated
10/31/2007
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