Individual
MR. MATT SCOTT FRANCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2973 W 125 S, WEST POINT, UT 85015
(801) 475-3960
(801) 475-3961
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2945431206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000106068
MEDICARE PART B
UT
Enumeration date
11/24/2008
Last updated
08/04/2020
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