Individual
MATTHEW THOMAS BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 S 1000 E, SALT LAKE CITY, UT 84102-1443
(801) 823-1988
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9337452-1205
UT
207R00000X
Internal Medicine Physician
125:061197
IL
207R00000X
Internal Medicine Physician
9337452-1205
UT
Other
Enumeration date
06/05/2012
Last updated
03/11/2025
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