Individual
MR. MATTHEW SCOTT HODGKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8310
(801) 357-3854
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8351269-4405
UT
363LF0000X
Family Nurse Practitioner
83512694405
UT
Other
Enumeration date
01/14/2022
Last updated
07/15/2022
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