Individual
ROBERT JOHN MATEJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3460 PIONEER PKWY, WEST VALLEY, UT 84120-2049
(801) 993-9526
(801) 733-5618
Mailing address
2146 POWDERKEG DR, SANDY, UT 84093-1784
(801) 944-8866
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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