NPI 1922817816

Matthew P Supulver, AEMT

Practitioner Attendant Care Provider Saint George, UT

Practice location

Address: 634 S Main St, Saint George, UT 84770-3921
Phone: (435) 231-9277

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1922817816
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2025
Record last updated: 6 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.