Evan J Matheson is a Clinic/center in Provo, Utah. Evan J Matheson practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Evan J Matheson is 1760677686. The last update date is 2011-01-31.
Evan J Matheson's current location address is 745 N 500 W # 200, Provo, Utah. You can contact this provider via phone number 8013759292 and fax number 8013759290. The mailing address for Evan J Matheson is 745 N 500 W # 200, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evan J Matheson |
|---|---|
| Address | 745 N 500 W # 200, Provo, Utah |
| Phone Number | 8013759292 |
| Fax Number | 8013759290 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Matheson J Evan |
| Credentials | M.D. |
| Telephone Number | 8013759292 |
NPI Number Detail
| NPI Number | 1760677686 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2011-01-31 |
Provider Mailing Address Detail
| Address | 745 N 500 W # 200 |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846011472 |
| Phone Number | 8013759292 |
| Fax Number | 8013759290 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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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 |
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Post Comment/ Review Below
What is the Evan J Matheson's 1760677686?
The Evan J Matheson's NPI (National Provider Identifier) Number is 1760677686. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Evan J Matheson is geographically located?
The Evan J Matheson is physically situated at the following location: 745 N 500 W # 200, Provo, UT, 846011472.
What is Evan J Matheson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evan J Matheson's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.
On what date was the 1760677686 assigned to Evan J Matheson?
The Evan J Matheson was issued its 1760677686 on 2007-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Evan J Matheson most recently updated or refreshed?
The details pertaining to the Evan J Matheson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-31.