Dr. Matthew Craig Evans
Family Doctor - Sports Medicine
1157 N 300 W #201
Provo
, Utah 84604-6124
Dr. Matthew Craig Evans
Family Doctor - Sports Medicine
1157 N 300 W #201
Provo
, Utah 84604-6124
(801) 356-0475
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Matthew Craig Evans
- Po Box 27128
- Salt Lake City, UT
- Zip : 84127-0128
- Phone : (801) 356-0475
Second Address
- Dr. Matthew Craig Evans
- 1157 N 300 W #201
- Provo, UT
- Zip : 84604-6124
- Phone : (801) 581-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 6348954-1205 | UT |
National Provider Identifier
| NPI | 1043486384 |
|---|---|
| Provider Name | Dr. Matthew Craig Evans |
| First Address | Salt Lake City, UT 84127-0128 |
| Second Address | Provo, UT 84604-6124 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2008 |
| Last Update Date | 15/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.