Individual
JOSEPH L MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3654
(303) 853-3656
Mailing address
3898 BIRCHWOOD DR, BOULDER, CO 80304-1419
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
48367
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010157051
REGENCE BLUE SHIELD
ID
05
—
807512400
—
ID
01
—
S6023
BLUE CROSS OF IDAHO
ID
Enumeration date
09/06/2006
Last updated
02/02/2012
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