# MATTHEW WELTER MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matthew Welter M.D.,P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619573490
- **Authorized official:** DR. MATTHEW WELTER MD (PRESIDENT)
- **Authorized official phone:** (435) 757-8943

## Contact information

- **Practice address:** 1219 N 400 E, LOGAN, UT 84341-2321
- **Practice address phone:** (435) 932-2025
- **Practice address fax:** (435) 215-4420
- **Mailing address:** 1915 E 13000 N, COVE, UT 84320-2130
- **Mailing address phone:** (435) 757-8943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 01/04/2021