Gary L Martinsen OD, PHD

NPI 1093794414 - Optometrist - 152W00000X

NPI Details
NPI 1093794414
Gender Male
Enumeration Date 01/13/2006
Last Updated 10/12/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
101 BODIN CIR
60 MDG/SGPE
TRAVIS AFB CA, 94535-1809, US
Phone (707) 423-7141
Fax
Business Location
101 BODIN CIR
TRAVIS AFB CA, 94535-1809, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 9400
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According to our database, Dr. Gary L Martinsen OD, PHD NPI is 1093794414, taxonomy code is 152W00000X and license number is 9400, license state is located at California. Gary L Martinsen OD, PHD physically located at 101 Bodin Cir, Travis Afb CA, 94535-1809. NPI Number Gary L Martinsen OD, PHD has the Individual type.

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1093794414 NPI number is provided on an as is basis without warranty of any kind. 1093794414 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L Martinsen OD, PHD are for informational purposes only.