Individual provider · Type 1 NPI

Andrea Jensen Matich, MD

Sports Medicine (Family Medicine) Physician · Draper, UT

NPI number 1902092133 Active

Practice location

96 E Kimballs Ln Ste 207
Draper, UT 84020-5021

Fax (844) 249-1746

Mailing address

PO Box 100253
Atlanta, GA 30384-0253

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010X6354383-1205 (UT)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1902092133

Andrea Jensen Matich, MD's National Provider Identifier is 1902092133, issued on Sep 21, 2007. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Draper, UT. The record was last updated on Jan 20, 2020.