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Individual

MATTHEW R. GLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
26 N 1900 E RM 701, SALT LAKE CITY, UT 84132-0002
(801) 581-7693
Mailing address
26 N 1900 E RM 701, SALT LAKE CITY, UT 84132-0002
(801) 581-7693

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085705A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
12744862-1205
UT
207RP1001X
Pulmonary Disease Physician
12744862-1205
UT

Other

Enumeration date
05/30/2018
Last updated
12/29/2025
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