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1164152492
MATTHEW JAMES DEWEY
LOGAN, UT
NPI
1164152492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 13559198-1206)
Enumeration Date
2022-06-10
Last Update Date
2023-09-12
Business Address
MATTHEW JAMES DEWEY
2310 N 400 E STE A
LOGAN, UT 84341-1796
Phone number: 435-787-2000
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Mailing Address
MATTHEW JAMES DEWEY
280 S MAIN ST
BOUNTIFUL, UT 84010-6236
Phone number: 801-505-0821
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