Individual
MATTHEW PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1784 UINTA WAY UNIT E2, PARK CITY, UT 84098-7685
(435) 604-0160
Mailing address
PO BOX 3024, JACKSON, WY 83001-3024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8452730-1206
UT
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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