Individual
MATTHEW E NOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 373-7850
Mailing address
560W 800 N, OREM, UT 84057-3746
(801) 225-6246
(801) 225-1525
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
45051-020
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
284799-1205
UT
2085R0204X
Vascular & Interventional Radiology Physician
45051-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042298
DMBA
UT
01
—
107057702101
IHC
UT
05
—
1528280385
—
UT
01
—
28479912000001
BLUE CROSS
UT
01
—
870284448NKS
EMIA
UT
Enumeration date
05/02/2007
Last updated
09/05/2024
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