OrganizationActive
Elite Orthopedic Surgery and Sports Medicine
NPI 1710644463 · Sports Medicine (Orthopaedic Surgery) Physician · Orem, UT
Provider details
- NPI number
- 1710644463
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Poulsen, Owner(801) 252-4888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
980 E 800 N Ste 104
Orem, UT 84097-4261
Phone: (801) 252-4888
Fax: (801) 252-4887
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1169
Bountiful, UT 84011-1169
Registry dates
- Enumerated
- 2021-11-17
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.