NPI 1710644463 · live from the CMS NPI Registry
Elite Orthopedic Surgery And Sports Medicine
Orthopaedic Surgery, Sports Medicine in Orem, UT. National Provider Identifier 1710644463, active.
NPI record
| NPI | 1710644463 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 980 E 800 N Ste 104, Orem, UT 84097 |
| Practice phone | 801-252-4888 |
| Mailing address | Po Box 1169, Bountiful, UT 84011 |
| Enumerated | November 17, 2021 |
| Last updated | November 17, 2021 |
| Authorized official | Matthew Poulsen, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.