Organization
MATIS DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY MATIS M.D. (DERMATOLOGIST)
(801) 521-0100
Entity
Organization
Contact information
Practice address
710 E 200 S, SALT LAKE CITY, UT 84102-2265
(801) 521-0100
(801) 521-5227
Mailing address
PO BOX 9697, SALT LAKE CITY, UT 84109-9697
(801) 521-0100
(801) 521-5227
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
185450-1205
UT
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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