| NPI | 1013663111 |
|---|---|
| Other Name | JUSTIN A MARTINEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2022-0121) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA0009075) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-03-04 |