Individual
DR. RICHARD V. MATERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
324 10TH AVE, STE 100, SALT LAKE CITY, UT 84103-2853
(801) 408-3771
(801) 408-3772
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 884-9728
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
6012531-1205
UT
208800000X
Urology Physician
MD.026474
LA
Other
Enumeration date
11/09/2007
Last updated
08/18/2015
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