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1902364797
MATTHEW S. SWALLOW
PROVO, UT
NPI
1902364797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: UT 11898978-1205)
Enumeration Date
2019-03-11
Last Update Date
2024-07-03
Business Address
MATTHEW S. SWALLOW MD
1055 N 500 W STE 211 BLDG C
PROVO, UT 84604
Phone number: 801-357-7327
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Mailing Address
MATTHEW S. SWALLOW MD
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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