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NPI Verification

National Provider Identifier: 1578983524

Edward Justin Martinez

Individual Provider

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

775 POLE LINE RD W STE 301

TWIN FALLS, ID 833015823

Phone: 208-814-8700

NPI Enumeration Date

April 17, 2014

NPI Number

1578983524

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Edward Martinez - NPI 1578983524 | Provider Verification | HormoneMap