Individual provider · Type 1 NPI

Mark E. Martin, PA-C

Surgical Physician Assistant · Fort Collins, CO

NPI number 1184699464 Active

Practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Fax (970) 484-4759

Mailing address

2008 Caribou Dr
Fort Collins, CO 80525-4325

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA2946 (FL)
Surgical Physician Assistant Primary 363AS0400XPA.0006241 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1184699464

Mark E. Martin, PA-C's National Provider Identifier is 1184699464, issued on Feb 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Collins, CO. The record was last updated on Sep 26, 2020.