Provider Demographics
NPI:1518155753
Name:DAVID HUNTER MATTHEWS MD PC
Entity Type:Organization
Organization Name:DAVID HUNTER MATTHEWS MD PC
Other - Org Name:WEST VALLEY INFECTIOUS DISEASE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VIGIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-569-2384
Mailing Address - Street 1:3590 W 9000 S STE 240
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-8864
Mailing Address - Country:US
Mailing Address - Phone:801-569-2384
Mailing Address - Fax:801-569-8643
Practice Address - Street 1:3590 W 9000 S STE 240
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-8864
Practice Address - Country:US
Practice Address - Phone:801-569-2384
Practice Address - Fax:801-569-8643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty