Individual
DR. MATTHEW NAEGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
698 12TH ST, OGDEN, UT 84404-6200
(801) 475-3700
(801) 475-3701
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
70007041204
UT
208000000X
Pediatrics Physician
R-10913
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154850477
—
UT
Enumeration date
06/08/2017
Last updated
05/04/2021
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