Individual
WILLIAM JASON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 ELK CIR, BASALT, CO 81621-8202
(312) 371-8570
Mailing address
406 ELK CIR, BASALT, CO 81621-8202
(312) 371-8570
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
239972
NY
208200000X
Plastic Surgery Physician
Primary
45810
CO
208200000X
Plastic Surgery Physician
—
IL
Other
Enumeration date
12/27/2006
Last updated
07/26/2007
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