Search › Colorado › 363AS0400X
Mark Martin, PA-C
NPI 1184699464 · on the registry since 2006
Practice
- Address
- 1024 S Lemay Ave
Fort Collins, CO 80524 - Phone
- (970) 495-7000
- Fax
- (970) 484-4759
- Organisation at this address
- Summit Pathology
Evergreen Surgical Assist
Poudre Valley Health Care Inc
Poudre Valley Health Care Inc.
Poudre Valley Health Care Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 233
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363AS0400X
- Licence states on file
- FL, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado