Individual
MATIAS A CALQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
667 E 500 N STE 210, VINEYARD, UT 84059-6004
(801) 714-5030
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-5030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12374118-1205
UT
Other
Enumeration date
03/28/2020
Last updated
06/15/2026
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