Individual
GEORGE J MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (R)
Contact information
Practice address
12516 BRYANT ST, BROOMFIELD, CO 80020-3844
(303) 525-3847
Mailing address
12516 BRYANT ST, BROOMFIELD, CO 80020-3844
(303) 525-3847
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
CO
Enumeration date
12/14/2019
Last updated
12/14/2019
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