Organization
JEFFREY L MATHEWS MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA NIELSON DO (OWNER)
(801) 818-1940
Entity
Organization
Contact information
Practice address
3507 N UNIVERSITY AVE STE 100, PROVO, UT 84604-4479
(801) 818-1940
(801) 818-1945
Mailing address
3507 N UNIVERSITY AVE STE 100, PROVO, UT 84604-4479
(801) 818-1940
(801) 818-1945
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24120
PEHP
UT
01
—
36279
DMBA
UT
01
—
52970537101001
BLUE CROSS
UT
05
—
529705371035
—
UT
Enumeration date
01/17/2007
Last updated
05/07/2025
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