Matthew Edward Deberry
Matthew Edward Deberry is a Student in an Organized Health Care Education/Training Program in Logan, Utah. Licensed in Utah. Registered with an NPI since 2017.
- Licensed in
- UT
- In the registry since
- 2017
Practice location Address checks out
90 E 200 NLogan, UT 84321
Phone: (435) 752-0750
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (UT) |
|---|
Record details
| NPI number | 1730606096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 28, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 90 E 200 N, Logan, UT 84321-4034 |
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