Individual
DR. WENDY L MATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 E 200 S, STE 1B, SALT LAKE CITY, UT 84102-2265
(801) 521-0100
Mailing address
PO BOX 9697, SALT LAKE CITY, UT 84109-9697
(801) 521-0100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
185450-1205
UT
Other
Enumeration date
06/16/2005
Last updated
01/25/2016
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