Individual
DR. SUSAN LOCKWOOD MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, UNIVERSITY PEDIATRIC CLINIC, 1ST FLOOR, SALT LAKE CITY, UT 84132-0001
(801) 581-2321
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(847) 581-2321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6756937-1205
UT
2080N0001X
Neonatal-Perinatal Medicine Physician
036088233
IL
Other
Enumeration date
07/06/2006
Last updated
05/02/2018
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