IndividualActive
Evan Matheson, M.D.
NPI 1649251646 · Allergy & Immunology Physician · Provo, UT
Provider details
- NPI number
- 1649251646
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1758051205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
745 N 500 W
#200
Provo, UT 84601-1472
Phone: (801) 375-9292
Approximate (ZIP-level) locationGet directions
Mailing address
745 N 500 W
Provo, UT 84601-1472
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2019-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.