Individual
DR. MATTHEW CRAIG EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1157 N 300 W, #201, PROVO, UT 84604-6124
(801) 581-2000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 356-0475
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
6348954-1205
UT
Other
Enumeration date
05/06/2008
Last updated
06/15/2010
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