Individual
AMBER DAWN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA/CST
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2961
(801) 855-3300
Mailing address
1298 N 100 W, AMERICAN FORK, UT 84003-2708
(801) 995-3203
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
192364
UT
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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