Individual
MATTHEW MICHAEL HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2800
Mailing address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2800
(435) 713-2835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12764152-1206
UT
363AM0700X
Medical Physician Assistant
12764152-1206
UT
363AM0700X
Medical Physician Assistant
8740
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12764152-1206
PHYSICIAN ASSISTANT LICENSE
UT
01
—
12764152-8906
CONTROLLED SUBSTANCE LICENSE
UT
01
—
2011010003
UTAH BEMS AEMT
UT
01
—
8740
PHYSICIAN ASSISTANT LICENSE
AZ
Enumeration date
11/23/2020
Last updated
01/06/2025
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