Individual
DR. MATTHEW T PROVENCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
181 W MEADOW DR, SUITE 400, VAIL, CO 81657-5242
(970) 476-1100
(970) 479-5835
Mailing address
181 W MEADOW DR, SUITE 400, VAIL, CO 81657-5242
(970) 476-1100
(970) 479-5835
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
255099
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
56291
CO
Other
Enumeration date
02/10/2006
Last updated
03/07/2016
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