Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 9048767-1204 | UT |
NPI | 1083904619 |
---|---|
Provider Name | Matthew Ryan Call |
First Address | Springville, UT 84663-2222 |
Second Address | Springville, UT 84663-2222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2011 |
Last Update Date | 02/06/2016 |