Provider Demographics
NPI:1457659435
Name:MARTIN, FRANK DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:DAVID
Last Name:MARTIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1642 S PARKER RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2915
Mailing Address - Country:US
Mailing Address - Phone:303-752-1974
Mailing Address - Fax:
Practice Address - Street 1:1642 S PARKER RD
Practice Address - Street 2:SUITE 209
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2915
Practice Address - Country:US
Practice Address - Phone:303-752-1974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor