Jorge A. Martinez, Md, PA

NPI #1043374812 in Nampa, Idaho

Provider Information

NPI Number: 1043374812
Entity Type: Organization
Organization Name: Jorge A. Martinez, Md, PA
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 19, 2006
Last Updated: Oct 11, 2007

Practice Location

Address: 1615 12TH AVE RD STE B
City: Nampa
State: Idaho
ZIP Code: 83686-6184
Phone: (208) 498-1700

Authorized Official

Name: JORGE A MARTINEZ, MD
Title: OWNER
Phone: (208) 498-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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