Individual
MR. MATTHEW VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
4158 BERRIDALE CIR, SOUTH JORDAN, UT 84095-9102
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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