Michael E Matlak in Salt Lake City - Pediatric Surgery
Michael E Matlak - NPI 1134200926
Michael E Matlak is a Pediatric Surgery in Salt Lake City, Utah. Michael E Matlak practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Michael E Matlak is 1134200926. The last update date is 2008-06-02.
Michael E Matlak's current location address is 100 N Mario Capecchi Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016622950 and fax number 8016622980. The mailing address for Michael E Matlak is 100 N Mario Capecchi Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael E Matlak |
|---|---|
| Address | 100 N Mario Capecchi Dr, Salt Lake City, Utah |
| Phone Number | 8016622950 |
| Fax Number | 8016622980 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134200926 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 100 N Mario Capecchi Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841131103 |
| Phone Number | 8016622950 |
| Fax Number | 8016622980 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 1605921205 |
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Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5572 | UT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Michael E Matlak by the Centers for Medicare & Medicaid Services?
The Michael E Matlak has been issued the NPI (National Provider Identifier) 1134200926. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael E Matlak's physical address?
The Michael E Matlak is physically located at 100 N Mario Capecchi Dr, in the city of Salt Lake City, UT, with the postal code 841131103.
What is Michael E Matlak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael E Matlak is Pediatric Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134200926 to Michael E Matlak?
The Centers for Medicare & Medicaid Services assigned the 1134200926 to Michael E Matlak on 2006-10-18.
As of what date was the information pertaining to Michael E Matlak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael E Matlak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-02.