Individual
MARTI RUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1860 E EGBERT ST, BRIGHTON, CO 80601-2475
(303) 659-4000
(303) 655-4924
Mailing address
203 S ROLLIE AVE, BILLING DEPT - CREDENTIALIST, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0427008
KS
207Q00000X
Family Medicine Physician
0427008
KS
207Q00000X
Family Medicine Physician
Primary
DR.0056041
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100345670G
—
KS
05
—
2086802102
—
KS
Enumeration date
01/25/2006
Last updated
06/23/2016
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