Individual provider · Type 1 NPI

Matthew T. Provencher, MD

Sports Medicine (Orthopaedic Surgery) Physician · Vail, CO

NPI number 1831162759 Active

Practice location

181 W Meadow Dr, Suite 400
Vail, CO 81657-5242

Call (970) 476-1100 Map

Fax (970) 479-5835

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X255099 (MA)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X56291 (CO)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1831162759

Matthew T. Provencher, MD's National Provider Identifier is 1831162759, issued on Feb 10, 2006. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Vail, CO. The record was last updated on Mar 7, 2016.