DIANE MARIE MATTOCKS

SALT LAKE CITY, UT
NPI1295782886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  276672-1206)
Enumeration Date2006-05-28
Last Update Date2007-07-08
Business Address
Ms. DIANE MARIE MATTOCKS PA-C, MPAS
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
Ms. DIANE MARIE MATTOCKS PA-C, MPAS
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565