Individual
SUMMER ANN MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-9500
(801) 581-4359
Mailing address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6717517-1206
UT
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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