Individual
DR. RANO NAIM GABRA MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 3B427, SALT LAKE CITY, UT 84132-0002
(801) 213-2700
Mailing address
30 N 1900 E RM 3B427, SALT LAKE CITY, UT 84132-0002
(801) 213-2700
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
11723332-1205
UT
Other
Enumeration date
07/14/2020
Last updated
11/20/2021
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