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Individual

DR. MATTHEW THOMAS SWENEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 MARIO CAPECCHI DR, DIVISION OF PEDIATRIC NEUROLOGY, 3RD FLOOR PCMC, SALT LAKE CITY, UT 84113-1103
(801) 662-5691
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
6679271-1205
UT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
33975
MT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
6679271-1205
UT
2084N0600X
Clinical Neurophysiology Physician
6679271-1205
UT

Other

Enumeration date
03/28/2007
Last updated
12/13/2021
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