# ROBERT JOHN MATEJKA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669577573
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 319892-1204 | UT | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 12/05/2019

## 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 |