Individual
MATTHEW JASON HANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 S 1300 E, SANDY, UT 84094-3763
(801) 501-2555
Mailing address
9500 S 1300 E, SANDY, UT 84094-3763
(801) 501-2555
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
7324045-1205
UT
2086S0122X
Plastic and Reconstructive Surgery Physician
MT184080
PA
Other
Enumeration date
05/09/2007
Last updated
07/20/2009
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