Mattocks, Diane Marie
Mattocks, Diane Marie is an individual health care provider with primary practice located at 500 Foothill Dr , Salt Lake City UT 84148-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mattocks, Diane Marie can be contacted via phone (801) 582-1565.Contact Information
Primary practice address
500 Foothill Dr
Salt Lake City UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-2503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 276672-1206 | Utah |
Profile Details
| NPI number | 1295782886 |
|---|---|
| LBN Legal business name | Mattocks, Diane Marie |
| Credentials | PA-C, MPAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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