Individual
MATT HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 N MAIN ST STE D162, KAYSVILLE, UT 84037-1401
(801) 448-7385
Mailing address
265 N MAIN ST STE D162, KAYSVILLE, UT 84037-1401
(801) 448-7385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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