Individual
MATTHEW SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 W COUGAR BLVD STE 601, PROVO, UT 84604-3331
(801) 357-7525
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7525
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8271010-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2009
Last updated
10/17/2023
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