NPI 1649251646

Evan J Matheson, MD

Practitioner Allergy & Immunology Physician Provo, UT

Practice location

Address: 745 N 500 W #200, Provo, UT 84601-1472
Phone: (801) 375-9292

Registered specialties (2)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 1758051205 (UT)

Other Allergy & Immunology providers in Utah →

Specialist

Other Service Providers Taxonomy 174400000X Licence 1758051205 (UT)

Other Specialist providers in Utah →

Registry record

NPI: 1649251646
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2005
Record last updated: 18 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.