National Provider Identifier Database

MATTHEW E BOUCEK, MD – NPI #1245792209
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

MATTHEW E BOUCEK, MD
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1125
Phone: 801-662-5703
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for MATTHEW E BOUCEK

NPI Number 1245792209
Credentials MD
Entity Individual
Enumeration date 04/01/2019
Last updated 03/30/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 12762223-1205
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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