Provider Demographics
NPI:1083904619
Name:CALL, MATTHEW RYAN (DO)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:RYAN
Last Name:CALL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 W 450 S STE B
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-2384
Mailing Address - Country:US
Mailing Address - Phone:801-226-0737
Mailing Address - Fax:801-226-0832
Practice Address - Street 1:771 W 450 S STE B
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-2384
Practice Address - Country:US
Practice Address - Phone:801-226-0737
Practice Address - Fax:801-226-0832
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-16
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9048767-1204207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology