Individual
MATTHEW S. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
(303) 306-7753
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
61521-20
WI
207P00000X
Emergency Medicine Physician
Primary
DR.0056638
CO
207P00000X
Emergency Medicine Physician
MT193722
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0056638
COLORADO MEDICAL LICENSE
CO
Enumeration date
06/26/2008
Last updated
07/18/2016
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