Organization · Type 2 NPI
Mat Ventures LLC
Addiction Medicine (Family Medicine) Physician · Cottonwood Heights, UT
NPI number
1467089607
Active
Practice location
8388 S Wasatch Blvd
Cottonwood Heights, UT 84121-6075
Mailing address
PO Box 639
Draper, UT 84020-0601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1467089607
Mat Ventures LLC's National Provider Identifier is 1467089607, issued on Mar 26, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Cottonwood Heights, UT. The record was last updated on Dec 17, 2020.