NPI 1578983524

Edward Justin Martinez

Practitioner Urology Physician Twin Falls, ID

Practice location

Address: 775 Pole Line Rd W STE 301, Twin Falls, ID 83301-5823
Phone: (208) 814-8700
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M-16287 (ID)

Other Urology providers in Idaho →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 279546 (MA)

Registry record

NPI: 1578983524
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2014
Record last updated: 25 Apr 2022

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.