Individual
MATTHEW P SUPULVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AEMT
Contact information
Practice address
634 S MAIN ST, SAINT GEORGE, UT 84770-3921
(435) 231-9277
Mailing address
634 S MAIN ST, SAINT GEORGE, UT 84770-3921
(435) 231-9277
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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