Individual
MR. TRAVIS JAY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 S MILTON RD, FLAGSTAFF, AZ 86001-6349
(928) 779-9588
Mailing address
1025 S MILTON RD, FLAGSTAFF, AZ 86001-6349
(928) 779-9588
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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