Individual
MATIAS A CALQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 420-2000
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12374118-1205
UT
Other
Enumeration date
03/28/2020
Last updated
09/23/2025
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