Provider Demographics
NPI:1184970915
Name:MARTINY, PIA MICHELLE (DVM)
Entity type:Individual
Prefix:DR
First Name:PIA
Middle Name:MICHELLE
Last Name:MARTINY
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1674 FALCON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-5108
Mailing Address - Country:US
Mailing Address - Phone:714-875-2675
Mailing Address - Fax:
Practice Address - Street 1:1103 OAK PARK DR
Practice Address - Street 2:STE101
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-6273
Practice Address - Country:US
Practice Address - Phone:970-206-1868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60255702174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian