EDWARD JUSTIN MARTINEZ

TWIN FALLS, ID
NPI1578983524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: ID  M-16287)
Additional Taxonomies208800000X Urology
(Licence: MA  279546)
Enumeration Date2014-04-17
Last Update Date2022-04-25
Business Address
EDWARD JUSTIN MARTINEZ
775 POLE LINE RD W STE 301
TWIN FALLS, ID 83301-5823
Phone number: 208-814-8700
Mailing Address
EDWARD JUSTIN MARTINEZ
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 120-838-1877
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