Individual
MATTHEW EDWARD DEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321
(435) 752-0750
Mailing address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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