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Evan J Matheson
Clinic/Center in Provo, Utah
NPI 1760677686

Evan J Matheson is a Clinic/Center based in Provo, UT. Evan J Matheson practices in Provo, UT. The NPI Number for Evan J Matheson is 1760677686 and holds a License No. (Utah).

The current practice location address for Evan J Matheson is 745 N 500 W # 200, Provo, UT and can be reached out via phone at 801-375-9292 and via fax at 801-375-9290. You can also correspond with Evan J Matheson through the mailing address at 745 N 500 W # 200, PROVO, UT - 84601-1472 (mailing address contact number: 801-375-9292).

Location: 745 N 500 W # 200, Provo, UT, 84601-1472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760677686
Provider Name
Evan J Matheson
Credential
Provider Entity Type
Organization
Address
745 N 500 W # 200, Provo, UT, 84601-1472
Phone Number
801-375-9292
Fax Number
801-375-9290
Provider Enumeration Date
09/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
745 N 500 W # 200
City
Provo
State
Utah
Zip
84601-1472
Phone Number
801-375-9292
Fax Number
801-375-9290
person
Provider Business Mailing Address Details
Address
745 N 500 W # 200
City
Provo
State
Utah
Zip
84601-1472
Phone Number
801-375-9292
Fax Number
801-375-9290
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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