Individual
DR. STEPHEN K MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
22 W. 7200 S., MIDVALE, UT 84047
(801) 561-1300
Mailing address
22 W. 7200 S., MIDVALE, UT 84047
(801) 561-1300
(801) 565-8481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7710117-8909
UT
152W00000X
Optometrist
7710117-993
UT
Other
Enumeration date
04/20/2010
Last updated
03/14/2011
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