| Doctor Name: | BARRY MARTIN |
| NPI Number: | 1235279332 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 29633 |
| Business Practice Address: | 11005 Ralston Rd Suite G 100 Arvada, CO - 800044551 |
| Business Phone Number: | 3034310844 |
| Business Fax Number: | 3034566124 |
| Mailing Address: | 3701 S Broadway, ENGLEWOOD |
| State: | CO |
| Postal Code: | 801133611 |
| Phone Number: | 3037611977 |
| Fax Number: | 3037612787 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 02/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 29633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |