IndividualActive
Edin Martinez
NPI 1023211711 · Contractor · Glendale, AZ
Provider details
- NPI number
- 1023211711
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 9305 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
5425 N 80th Ln
Glendale, AZ 85303-5517
Phone: (623) 872-9122
Approximate (ZIP-level) locationGet directions
Mailing address
5425 N 80th Ln
Glendale, AZ 85303-5517
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2007-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.