IndividualActive
Susan Mathews, M D
NPI 1073733689 · Adolescent Medicine (Family Medicine) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1073733689
- Entity type
- Individual
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M D
- Sex
- Female
- Sole proprietor
- Yes
- License
- A52704 (CA)
Practice location
275 E 200 S
Salt Lake City, UT 84111-2002
Phone: (801) 428-2270
Fax: (801) 487-8197
Mailing address
Po Box 100
Gobles, MI 49055-0100
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.