Individual
ROGER MARTINS MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 N MAIN ST STE 105, HEBER CITY, UT 84032-1670
(435) 654-1377
Mailing address
8808 S OAK LN, WEST JORDAN, UT 84088-9239
(801) 940-3880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10968715-1206
UT
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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