Individual
DR. MATTHEW REY KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7711
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101023871
MI
2084P0800X
Psychiatry Physician
Primary
5151012902
MI
2084P0804X
Child & Adolescent Psychiatry Physician
13308454-1204
UT
2084P0804X
Child & Adolescent Psychiatry Physician
13308454-8904
UT
Other
Enumeration date
05/08/2018
Last updated
06/21/2023
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