Individual
MATTHEW D PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4252 S HIGHLAND DR STE 207, HOLLADAY, UT 84124-2670
(801) 993-1800
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13794147-1205
UT
208800000X
Urology Physician
P0271
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285832601
—
TX
01
—
P01194100
RRMC PTAN
TX
Enumeration date
05/03/2007
Last updated
06/18/2024
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