Individual provider · Type 1 NPI

Diane Marie Mattocks, PA-C, MPAS

Physician Assistant · Salt Lake City, UT

NPI number 1295782886 Active

Practice location

500 Foothill Dr
Salt Lake City, UT 84148-0001

Call (801) 582-1565 Map

Fax (801) 584-2503

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X276672-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295782886

Diane Marie Mattocks, PA-C, MPAS's National Provider Identifier is 1295782886, issued on May 28, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 13, 2026.