Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Orthopedic Surgery and Sports Medicine

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1710644463

Elite Orthopedic Surgery and Sports Medicine is a Sports Medicine (Orthopaedic Surgery) Physician in Orem, Utah. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

980 E 800 N Ste 104
Orem, UT 84097-4261
Phone: (801) 252-4888
Fax: (801) 252-4887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1710644463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Poulsen — Owner · (801) 252-4888
NPI enumeratedNovember 17, 2021
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021
Mailing addressPo Box 1169, Bountiful, UT 84011-1169

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