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Individual

MATTHEW E. FEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120-2049
(801) 964-3100
Mailing address
144 S 500 E, 2ND FLOOR, SALT LAKE CITY, UT 84102-1907
(801) 463-7415

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5858730-1204
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5858730-1204
UT
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
5858730-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100638
PEHP
UT
01
58587031200001
BC/BS
UT
01
58587301201001
BC/BS
UT
01
58587301202001
BC/BS
UT
01
58587301203001
BC/BS
UT
01
58587301204001
BC/BS
UT
01
58587301205001
BC/BS
UT
01
58587301206001
BC/BS
UT
01
B002
TRICARE
UT
05
D6098
UT
01
P00252694
RAILROAD MEDICARE
UT
Enumeration date
03/27/2006
Last updated
04/15/2010
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