Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW T PROVENCHER, MD
ActiveDR. MATTHEW T PROVENCHER, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in VAIL, Colorado. NPI 1831162759 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · VAIL, CO
Registration Details
- NPI Number
- 1831162759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2006 (20.500125499081 yrs)
- Last Updated
- Mar 7, 2016
- Licenses
-
255099 (MA)56291 (CO)
Practice Information
- Address
-
181 W MEADOW DRSUITE 400VAIL, CO, 816575242Browse CO providers · Browse ZIP 81657
- Phone
- 9704761100
- Fax
- 9704795835
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Other Adult Reconstructive Orthopaedic Surgery Providers in VAIL, CO
| Name | Credential | NPI |
|---|---|---|
| ARMANDO F. VIDAL | MD | 1487635959 |
| PETER JAMES MILLETT | M.D. | 1700863990 |
| THOMAS R HACKETT | M.D. | 1568416568 |
| RANDALL W VIOLA | MD | 1003861931 |
| WILLIAM I STERETT | M.D. | 1326087651 |
| LESLIE B VIDAL | MD | 1538251574 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.