Individual
KEIGO MATSUYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3992 CENTRAL CAMPUS DRIVE DEPT 3504, OGDEN, UT 84408-0001
(870) 530-3706
Mailing address
3992 CENTRAL CAMPUS DRIVE DEPT 3504, OGDEN, UT 84408-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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