| Dale R Martin, MD | |
|
2500 E Prospect Rd, Fort Collins, CO 80525-9718 | |
| (970) 493-0112 | |
| Not Available |
| Full Name | Dale R Martin |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 2500 E Prospect Rd, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871576140 | NPI | - | NPPES |
| 01320282 | Medicaid | CO | |
| 109798900 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | DR.0032028 (Colorado) | Primary |
| Entity Name | Orthopaedic & Spine Center Of The Rockies Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770579385 PECOS PAC ID: 0244126365 Enrollment ID: O20040225000914 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale R Martin, MD 2500 E Prospect Rd, Fort Collins, CO 80525-9718 Ph: (970) 493-0112 | Dale R Martin, MD 2500 E Prospect Rd, Fort Collins, CO 80525-9718 Ph: (970) 493-0112 |
Robert M Baer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 E Prospect Road, Orthopaedic Center Of The Rockies,pc, Fort Collins, CO 80525 Phone: 970-493-0112 | |
John S Harvey, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-0521 | |
Michael J Houghton, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 | |
Riikka Erin Koso, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-1794 | |
Ryan L Hartman, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 | |
Wesley P Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 | |
Roger M Sobel, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Orthopaedic Center Of The Rockies, Fort Collins, CO 80525 Phone: 970-419-0112 Fax: 970-493-0521 |