Individual
DR. MATHEW LEONARD ROMANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2450
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME133061
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
11390723-1205
UT
207R00000X
Internal Medicine Physician
R73780
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383700
—
FL
Enumeration date
05/17/2013
Last updated
11/19/2024
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