Individual
MASON ANTONE SCHMUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 374-1818
(801) 374-0163
Mailing address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 374-1818
(801) 374-0163
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
142145
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
10343475-1205
UT
208D00000X
General Practice Physician
2252137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000098352
NORIDIAN
UT
Enumeration date
06/19/2012
Last updated
01/23/2020
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