Elliott O Martinez, IDC
NPI #1871786335 in Bridgeport, California
Provider Information
- NPI Number
- 1871786335
- Entity Type
- Individual
- Name
- Elliott O Martinez, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Aug 19, 2007
- Last Updated
- Oct 23, 2015
Practice Location
- Address
- STATE ROAD 108 BLDG 3005
- Address 2
- DEWERT BRANCH HEALTH CLINIC
- City
- Bridgeport
- State
- California
- ZIP Code
- 93517-7777
- Phone
- (760) 932-1616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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