Individual
DR. MATTHEW RYAN GRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E # 3R210, SALT LAKE CITY, UT 84132-0002
(801) 585-6387
Mailing address
30 N 1900 E # 3R210, SALT LAKE CITY, UT 84132-0002
(801) 585-6387
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
7151935-8905
UT
2084V0102X
Vascular Neurology Physician
Primary
7151935-8905
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
11/11/2008
Last updated
12/12/2012
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