DR. Matthew T Provencher, MD

NPI #1831162759 in Vail, Colorado

Provider Information

NPI Number
1831162759
Entity Type
Individual
Name
DR. Matthew T Provencher, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthopaedic Surgery - Sports Medicine
Credential
MD
Enumeration Date
Feb 10, 2006
Last Updated
Mar 7, 2016

Practice Location

Address
181 W MEADOW DR
Address 2
SUITE 400
City
Vail
ZIP Code
81657-5242
Phone
(970) 476-1100

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Sports MedicineSports Medicine

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