Individual
MR. MARTIN F BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 E 3100 N, LAYTON, UT 84040-2406
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8858473-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000038962
BCBS
—
05
—
0110963
—
OH
01
—
31164836000
WORKERS COMP
—
Enumeration date
11/14/2006
Last updated
11/13/2024
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