Matthew Holdaway
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1144929712
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1144929712
- Entity type
- Individual (NPI-1)
- Name
- Matthew Holdaway
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2023
- Certification date
- Feb 28, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
University Of Utah School Of Medicine27 S. Mario Capecchi Drive
Salt Lake City, UT 84113
Phone 801-581-7498
Mailing address
University Of Utah School Of Medicine27 S. Mario Capecchi Drive
Salt Lake City, UT 84113
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