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Individual
ROBERT JOHN MATEJKA
Active
Individual
ROBERT JOHN MATEJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
319892-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020088
—
UT
01
—
107007846103
IHC
UT
01
—
224510
ALTIUS
UT
01
—
607111900
US DEPT OF LABOR
UT
01
—
609345
DESERET MUTUAL
UT
01
—
700
HEALTHY U
UT
01
—
81627
PEHP
UT
01
—
PRA01843
MOLINA
UT
Enumeration date
09/14/2006
Last updated
12/05/2019
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