Matthew Paul Riccardi
NPI #1841993805 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1841993805
- Entity Type
- Individual
- Name
- Matthew Paul Riccardi
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Mar 27, 2023
- Last Updated
- Oct 28, 2025
Practice Location
- Address
- 1760 E RAMONA AVE
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84108-3110
- Phone
- (727) 729-0892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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