Individual
MATTHEW QUINN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
97 PROFESSIONAL WAY STE 2, PAYSON, UT 84651-1680
(801) 465-4896
(018) 465-4107
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-4305
(180) 135-4822
(814) 534-5599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12951971-1204
UT
207Q00000X
Family Medicine Physician
OT019600
PA
Other
Enumeration date
06/27/2019
Last updated
04/10/2024
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