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Individual

ADAM A MARTIDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2770 N UNION BLVD STE 140, COLORADO SPRINGS, CO 80909-1183
(719) 473-9595
(719) 227-0669
Mailing address
2770 N UNION BLVD STE 140, COLORADO SPRINGS, CO 80909-1183
(719) 473-9595
(719) 227-0669

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A95007
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
DR.0063668
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000181814
CO
Enumeration date
05/23/2005
Last updated
03/30/2022
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