Individual
DR. JORDAN R MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 N SHERMAN ST, SUITE 510, DENVER, CO 80203-4400
(303) 336-8317
Mailing address
455 N SHERMAN ST, SUITE 510, DENVER, CO 80203-4400
(303) 336-8317
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0054098
CO
207R00000X
Internal Medicine Physician
MT 194617
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
07/04/2009
Last updated
04/05/2015
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