Individual
MATTHEW JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 585-6387
Mailing address
175 N MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 585-6387
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
11405420-1205
UT
2084N0400X
Neurology Physician
11405420-1205
UT
Other
Enumeration date
04/09/2018
Last updated
02/13/2025
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