Individual
DR. DEBORAH LYNN MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
2390 S REDWOOD RD, SALT LAKE CITY, UT 84119-2027
(801) 975-1600
(801) 975-1666
Mailing address
3159 OAKCLIFF DR, SALT LAKE CITY, UT 84124-5675
(801) 699-9025
(801) 272-2942
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
1847581205
UT
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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