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Matthew Poulsen
NPI 1881635761 · on the registry since 2006
Practice
- Address
- 700 W 800 N
Suite 100
Orem, UT 84057 - Phone
- (801) 224-5373
- Fax
- (801) 224-5337
- Organisation at this address
- Revere Health Pc
Jon B Bishop M D P C
Ridgeline Orthopedic Specialists Llc
Valley Obstetrics And Gynecology, P.C.
Wasatch Foot And Ankle Specialists LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207X00000X
- Licence states on file
- KY, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah