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MR. MATTHEW STEVEN COBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
54 N 800 W, SALT LAKE CITY, UT 84116-3326
(801) 408-8654
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-8654

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
217465-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
841401924005
UT
Enumeration date
07/05/2006
Last updated
05/12/2016
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