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NPI Code Detail

MEDICARE: DR. MARTIN B GIANDONI MD

MEDICARE: DR. MARTIN B GIANDONI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician34911CO

General Provider Information

NPI Number : 1386698603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN B GIANDONI MD
Provider Business Mailing Address
First Line : 910 S MAIN ST
Second Line :
City : YUMA
State : CO
Zip : 80759-3021
Country : US
Telephone Number : 970-848-5405
Fax Number : 970-848-2348
Provider Business Practice Location Address
First Line : 910 S MAIN ST
Second Line :
City : YUMA
State : CO
Zip : 80759-3021
Country : US
Telephone Number : 970-848-5405
Fax Number : 970-848-2348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 09/13/2007

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Directions to “ DR. MARTIN B GIANDONI MD” Practice Location

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