NPI 1023211711

Edin Martinez

Practitioner Contractor Glendale, AZ

Practice location

Address: 5425 N 80th Ln, Glendale, AZ 85303-5517
Phone: (623) 872-9122

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 9305 (AZ)

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Registry record

NPI: 1023211711
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2007
Record last updated: 7 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.