Matt Amidan

NPI #1174203467 in Moab, Utah

Provider Information

NPI Number
1174203467
Entity Type
Individual
Name
Matt Amidan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jul 20, 2023
Last Updated
Jul 20, 2023

Practice Location

Address
290 S MAIN ST
City
Moab
State
Utah
ZIP Code
84532-2596
Phone
(435) 313-2012

Specialties & Taxonomy Codes

Specialty
Pharmacist

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