Individual
DR. MATTHEW GUMBLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10957074-1205
UT
207RX0202X
Medical Oncology Physician
Primary
10957074-1205
UT
Other
Enumeration date
03/27/2017
Last updated
03/04/2024
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