Individual
JOHN GILBERT MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD, SUITE 2600, OGDEN, UT 84403-3271
(801) 387-4870
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-4870
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
7650579-1205
UT
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
7979
NV
208600000X
Surgery Physician
Primary
7650579-1205
UT
208600000X
Surgery Physician
7979
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020-19807
—
NV
05
—
1710957980
—
UT
Enumeration date
01/23/2006
Last updated
01/27/2011
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