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1225510589
MATTHEW WAYNE SMITH
PROVO, UT
NPI
1225510589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 7941013-1206)
Enumeration Date
2018-09-04
Last Update Date
2024-10-31
Business Address
MATTHEW WAYNE SMITH PA-C
1157 N 300 W STE 201
PROVO, UT 84604-6124
Phone number: 801-357-1200
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Mailing Address
MATTHEW WAYNE SMITH PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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