Evan J Matheson
Evan J Matheson is a Clinic/Center in Provo, Utah. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
745 N 500 W # 200Provo, UT 84601-1472
Phone: (801) 375-9292
Fax: (801) 375-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1760677686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evan Matheson — Owner · (801) 375-9292 |
| NPI enumerated | September 13, 2007 |
| Last updated in NPPES | January 31, 2011 |
| Mailing address | 745 N 500 W # 200, Provo, UT 84601-1472 |
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