Individual provider · Type 1 NPI
Nicholaus Bruce Martin, MD
General Practice Physician · Flagstaff, AZ
NPI number
1629053236
Active
Practice location
120 W Fine Ave
Flagstaff, AZ 86001-3016
Fax (928) 773-0208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 18430 (AZ) |
| General Practice Physician | 208D00000X | 40573 (CO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Flagstaff
About NPI 1629053236
Nicholaus Bruce Martin, MD's National Provider Identifier is 1629053236, issued on Dec 7, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Jan 22, 2010.