Individual
SARA J. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 S UNION BLVD, 1ST FLOOR, COLORADO SPRINGS, CO 80910-3184
(719) 632-5700
(719) 344-7817
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
(719) 344-7800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45799
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84938820
—
CO
01
—
COA103358
MEDICARE NUMBER
CO
Enumeration date
02/06/2007
Last updated
04/04/2017
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