Individual
DR. MATTHEW THOMAS RONDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VA SLC HCS, 500 FOOTHILL DRIVE, SLC, UT 84148-0001
(801) 582-1565
Mailing address
PO BOX 581284, SLC, UT 84158-1284
(801) 243-6275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5617387-1205
UT
208M00000X
Hospitalist Physician
Primary
5617387-1205
UT
Other
Enumeration date
07/27/2006
Last updated
11/16/2021
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