Individual
KYLE JORDAN MARTHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4743 ARAPAHOE AVE, SUITE 100, BOULDER, CO 80303-1113
(303) 443-2123
(303) 443-9497
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 443-2123
(303) 443-9497
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0056793
CO
Other
Enumeration date
06/21/2011
Last updated
11/09/2017
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