Individual provider · Type 1 NPI

William R. Mathie, PA

Surgical Physician Assistant · Park City, UT

NPI number 1255517488 Active

Practice location

900 Round Valley Dr Ste 100
Park City, UT 84060-7552

Fax (435) 655-2388

Other practice locations

  • 6340 S 3000 E Ste 200, Cottonwood Heights, UT 84121-3552 · (801) 743-4500
  • 380 E 1500 S Ste 103, Heber City, UT 84032-3940 · (435) 655-6600

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X313527-8002 (UT)

Surgical Physician Assistant: Definition to come...

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About NPI 1255517488

William R. Mathie, PA's National Provider Identifier is 1255517488, issued on Jan 17, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Park City, UT. The record was last updated on Feb 27, 2026.