Individual
DR. BRIAN RODNEY MARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE, CARMICHAEL, CA 95608-0302
(916) 536-3666
(916) 536-3515
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 816-1846
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G86758
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G86758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G867580
MEDI-CAL
CA
01
—
P00003063
RAILROAD MEDICARE
—
Enumeration date
07/05/2006
Last updated
03/31/2020
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