Individual
MARTIN M. O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-6911
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37734
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0037734
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04989881
—
CO
01
—
930084883
RAILROAD MEDICARE
CO
Enumeration date
12/20/2005
Last updated
07/18/2015
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