Individual
EDWARD MATTERFIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1165 S UNIVERSITY AVE, PROVO, UT 84601-5954
(801) 377-2092
(801) 375-5935
Mailing address
1165 S UNIVERSITY AVE, PROVO, UT 84601-5954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7064912-1701
UT
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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