DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATIAS A CALQUIN, MD

Active Sole Proprietor

Family Medicine · PROVO, UT

Registration Details

NPI Number
1093343980
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2020 (6.1002754095916 yrs)
Last Updated
Sep 23, 2025
License
12374118-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
589 S STATE ST
PROVO, UT, 846065056
Browse UT providers · Browse ZIP 84606
Phone
8014202000
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PROVO, UT

Name Credential NPI
DR. STEVEN W BLOINK MD 1891787891
ANDREW D PETERSEN DO 1124011572
DR. DENNIS C HESS M.D. 1326035080
DR. RICHARD J HOLMES M.D. 1083601942
DR. JAMES A WOODMANSEE III M.D. 1093703530
WESLEY D WYLIE M.D. 1548215197
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.