Individual
MATTHEW JOEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FPSS
Contact information
Practice address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
UT
Other
Enumeration date
05/03/2021
Last updated
04/03/2024
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