Individual
ROGER JARED MARTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VASLC 500 SOUTH FOOTHILL BLVD, BLDG 47, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
VASLC 500 SOUTH FOOTHILL BLVD, BLDG 47, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5534714-1205
UT
Other
Enumeration date
06/12/2006
Last updated
09/04/2008
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