Individual provider · NPI-1

Matthew Quinn Carr, DPM

Podiatrist, Primary Podiatric Medicine · Salt Lake City, UT

NPI number1891717310
StatusActive
Last updated in NPPESOct 17, 2007

Details

NPI
1891717310
Entity type
Individual (NPI-1)
Name
Matthew Quinn Carr
Credential
DPM
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 24, 2006
Last updated
Oct 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213EP1101X Podiatrist, Primary Podiatric Medicine377983-0501UTYes

Practice location

1970 S 200 E
Salt Lake City, UT 84115-2402

Phone 801-463-2500 · Fax 801-486-2380

Mailing address

1970 S 200 E
Salt Lake City, UT 84115-2402

Phone 801-463-2500 · Fax 801-486-2380

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