Individual
MR. MATTHEW LAWRENCE BENISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, RD
Contact information
Practice address
181 E MEDICAL TOWER DR, MURRAY, UT 84107-4872
(801) 314-4300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1071971
—
363A00000X
Physician Assistant
Primary
12844256-1206
UT
363A00000X
Physician Assistant
3895 - 23
WI
Other
Enumeration date
12/16/2016
Last updated
04/29/2026
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