Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elite Orthopedic Surgery and Sports Medicine

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1710644463

Elite Orthopedic Surgery and Sports Medicine provides Sports Medicine (Orthopaedic Surgery) Physician services in Orem, Utah. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

980 E 800 N Ste 104
Orem, UT 84097-4261
Phone: (801) 252-4888
Fax: (801) 252-4887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1710644463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Poulsen — Owner · (801) 252-4888
NPI enumeratedNovember 17, 2021
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021
Mailing addressPo Box 1169, Bountiful, UT 84011-1169

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