Individual
MATTHEW VERNON STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
743 N MAIN ST, SPANISH FORK, UT 84660-1146
(385) 225-0961
(385) 448-5058
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10805840-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10805840-0501
MEDICAL LICENSE
UT
Enumeration date
01/09/2015
Last updated
02/08/2024
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