Wagaman, Matthew David
Wagaman, Matthew David is an sole proprietor health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wagaman, Matthew David can be contacted via phone (801) 357-7850.Contact Information
Primary practice address
1034 N 500 W
Provo UT 84604-3380
Phone: (801) 357-7850
Fax: (770) 701-6675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301096041 | Michigan |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 22241 | North Dakota |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 9395169-1205 | Utah |
Profile Details
| NPI number | 1083906952 |
|---|---|
| LBN Legal business name | Wagaman, Matthew David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2011 |
| Last updated | Sep 24th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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