EDWARD JUSTIN MARTINEZ
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1578983524- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 775 POLE LINE RD W STE 301, TWIN FALLS, ID, 833015823
- Phone
- (208) 814-8700
Specialties & Taxonomies
Urology
License: MA #279546
Urology
Primary License: ID #M-16287