Tina C. Martin, O.D.

NPI #1821189689 in Midvale, Utah

Provider Information

NPI Number: 1821189689
Entity Type: Individual
Name: Tina C. Martin, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 914 FORT UNION BLVD
City: Midvale
State: Utah
ZIP Code: 84047-1714
Phone: (801) 561-4282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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