Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAUS BRUCE MARTIN, MD
Active Sole ProprietorDR. NICHOLAUS BRUCE MARTIN, MD is a General Practice healthcare provider located in FLAGSTAFF, Arizona. NPI 1629053236 is currently active in the NPPES registry. Verify at CMS.
General Practice · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1629053236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.66307470873 yrs)
- Last Updated
- Jan 22, 2010
- Licenses
-
18430 (AZ)40573 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 W FINE AVEFLAGSTAFF, AZ, 860013016Browse AZ providers · Browse ZIP 86001
- Phone
- 9287739695
- Fax
- 9287730208
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE CROWDER | MD | 1003811068 |
| DR. STEPHEN WALLACE HARTZ | M.D. | 1669492757 |
| DR. TRAVIS CLARK STIEGLER | D.O. | 1235371493 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.