Individual
DR. GARY WAYNE MATRAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 STARK RD, STOCKTON, UT 84071-9712
(435) 833-7796
(435) 833-7667
Mailing address
11600 STARK RD, STOCKTON, UT 84071-9712
(435) 833-7796
(435) 833-7667
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
169591-1205
UT
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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