Provider Demographics
NPI:1275611881
Name:STEVEN M. MARTINI, MD, PC
Entity Type:Organization
Organization Name:STEVEN M. MARTINI, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-756-5985
Mailing Address - Street 1:211 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3013
Mailing Address - Country:US
Mailing Address - Phone:406-756-5985
Mailing Address - Fax:
Practice Address - Street 1:211 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3013
Practice Address - Country:US
Practice Address - Phone:406-756-5985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT82936Medicare ID - Type Unspecified
MT020615Medicare UPIN