Individual
MATTHEW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HELIX: 30 N MARIO CAPECCHI RM 1S100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
13869905-1205
UT
207N00000X
Dermatology Physician
Primary
25544
NH
207ND0101X
MOHS-Micrographic Surgery Physician
13869905-1205
UT
207R00000X
Internal Medicine Physician
2020015723
MO
Other
Enumeration date
06/22/2020
Last updated
12/10/2025
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