person
Mr. Matthew Memmott Neddo, PA-C,MPAS
Medical Physician Assistant in West Valley City, Utah
NPI 1215091525

Matthew Memmott Neddo is a Medical Physician Assistant based in Addison, UT and is specialized in Medical. Matthew Memmott Neddo practices in West Valley City, UT and has the professional credentials of PA-C,MPAS. The NPI Number for Matthew Memmott Neddo is 1215091525 and holds a License No. 373676-1206 (Utah).

The current practice location address for Matthew Memmott Neddo is 2500 S Lake Park Blvd, West Valley City, UT and can be reached out via phone at 801-902-4238 and via fax at 801-266-6916. You can also correspond with Matthew Memmott Neddo through the mailing address at 5080 SPECTRUM DR STE 1200W, ADDISON, TX - 75001-4624 (mailing address contact number: 972-364-8000).

Location: 2500 S Lake Park Blvd, West Valley City, UT, 75001-4624
person
Provider Profile Details
NPI Number
1215091525
Provider Name
Matthew Memmott Neddo
Credential
PA-C,MPAS
Provider Entity Type
Individual
Gender
Male
Address
2500 S Lake Park Blvd, West Valley City, UT, 75001-4624
Phone Number
801-902-4238
Fax Number
801-266-6916
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
373676-1206 01 UT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2500 S Lake Park Blvd
City
State
Zip
84120-8218
Phone Number
801-902-4238
Fax Number
801-266-6916
person
Provider Business Mailing Address Details
Address
2500 S Lake Park Blvd
City
State
Zip
84120-8218
Phone Number
801-902-4238
Fax Number
801-266-6916
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
373676-1206 (Utah)
Definition
Definition to come...
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