person
Dr. Nicholaus Bruce Martin, MD
General Practice Physician in Flagstaff, Arizona
NPI 1629053236

Nicholaus Bruce Martin is a General Practice Physician based in Flagstaff, AZ. Nicholaus Bruce Martin practices in Flagstaff, AZ and has the professional credentials of MD. The NPI Number for Nicholaus Bruce Martin is 1629053236 and holds a License No. 18430 (Arizona).

The current practice location address for Nicholaus Bruce Martin is 120 W Fine Ave, Flagstaff, AZ and can be reached out via phone at 928-773-9695 and via fax at 928-773-0208.

Location: 120 W Fine Ave, Flagstaff, AZ, 86001-3016
person
Provider Profile Details
NPI Number
1629053236
Provider Name
Nicholaus Bruce Martin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
120 W Fine Ave, Flagstaff, AZ, 86001-3016
Phone Number
928-773-9695
Fax Number
928-773-0208
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
120 W Fine Ave
City
State
Zip
86001-3016
Phone Number
928-773-9695
Fax Number
928-773-0208
person
Provider Business Mailing Address Details
Address
120 W Fine Ave
City
State
Zip
86001-3016
Phone Number
928-773-9695
Fax Number
928-773-0208
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
18430 (Arizona)
Definition
Definition to come...
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