Individual
CARL ANTHONY MATTSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, STE 2600, OGDEN, UT 84403-3271
(801) 387-2600
(801) 387-2625
Mailing address
4403 HARRISON BLVD, STE 2600, OGDEN, UT 84403-3271
(801) 387-2600
(801) 387-2625
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
155171-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04710
—
UT
01
—
4053
DESERET MUTUAL
—
01
—
4360680001
CIGNA DMERC
UT
Enumeration date
08/16/2005
Last updated
11/15/2007
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