Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIOTT O MARTINEZ, IDC
ActiveELLIOTT O MARTINEZ, IDC is a Independent Duty Corpsman healthcare provider located in BRIDGEPORT, California. NPI 1871786335 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · BRIDGEPORT, CA
Registration Details
- NPI Number
- 1871786335
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2007 (18.989790650689 yrs)
- Last Updated
- Oct 23, 2015
Practice Information
- Address
-
STATE ROAD 108 BLDG 3005DEWERT BRANCH HEALTH CLINICBRIDGEPORT, CA, 935177777Browse CA providers · Browse ZIP 93517
- Phone
- 7609321616
- Fax
- 7609321623
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in BRIDGEPORT, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL DALE RICHARDSON | — | 1477594646 |
| TOBY NATIVIDAD HERNANDEZ | IDC | 1730339763 |
| DUANE E POSTLER | IDC | 1649416835 |
| GREG URICK | — | 1861785651 |
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.