Individual
MATHEW RAY CODDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
126 WHITE SAGE AVE, DELTA, UT 84624
(435) 864-5591
Mailing address
126 WHITE SAGE AVE, DELTA, UT 84624-8937
(435) 864-5591
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101292
PA
Other
Enumeration date
10/02/2013
Last updated
06/14/2018
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