Individual
ETHAN JAMES MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
(801) 507-3799
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
(801) 507-3799
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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