Individual
MR. MATTHEW NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9655 N 5750 W, HIGHLAND, UT 84003-9150
(801) 358-4127
Mailing address
9655 N 5750 W, HIGHLAND, UT 84003-9150
(801) 358-4127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
365131-3102
UT
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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