Individual
MATTHEW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.R.N.
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 887-2400
Mailing address
471 E 6990 S, MIDVALE, UT 84047-1643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76853064405
UT
Other
Enumeration date
07/09/2015
Last updated
11/23/2021
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