Individual
MR. MATTHEW M YATES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7321 11TH ST, 75 MDG / SGOPF, HILL AFB, UT 84056-5012
(801) 586-9710
Mailing address
2007 RYAN CIR, UINTAH, UT 84403-4995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1053660
NE
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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