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Individual

MATTHEW M. GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-3781
(801) 299-2416
Mailing address
PO BOX 742353, ATLANTA, GA 30374-2353

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7471303-1204
UT
2084P0800X
Psychiatry Physician
TL1859
WY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/27/2009
Last updated
03/11/2025
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