Individual
MATTHEW EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2655 W 9000 S, WEST JORDAN, UT 84088-8542
(801) 256-6399
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4996646-1204
UT
Other
Enumeration date
06/14/2006
Last updated
08/04/2021
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