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NPI Code Detail

MEDICARE: CHRISTOPHER WILLIAM MARTELLA DO

MEDICARE: CHRISTOPHER WILLIAM MARTELLA DO
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
1207P00000XEmergency Medicine Physician43310CO
2207P00000XEmergency Medicine PhysicianA-1353-06NM
3207Q00000XFamily Medicine Physician43310CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962479063
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER WILLIAM MARTELLA DO
Provider Business Mailing Address
First Line : 3702 AUTOMATION WAY
Second Line : SUITE 103
City : FORT COLLINS
State : CO
Zip : 80525-5737
Country : US
Telephone Number : 970-224-1670
Fax Number : 970-495-6218
Provider Business Practice Location Address
First Line : 3519 RICHMOND DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-5995
Country : US
Telephone Number : 970-204-0300
Fax Number : 970-226-9041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 09/17/2014

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Directions to “ CHRISTOPHER WILLIAM MARTELLA DO” Practice Location

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