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Individual

WILLIAM CHARLES MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2021 N 12TH ST, GRAND JUNCTION, CO 81501-2980
(970) 254-1686
Mailing address
2754 COMPASS DR, SUITE 300, GRAND JUNCTION, CO 81506-8714
(970) 254-1686
(970) 254-1687

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38178
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02504278
CO
05
T0201
UT
Enumeration date
04/13/2006
Last updated
04/28/2008
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