# WORKWELL OCCUPATIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003137134
- **Authorized official:** DR. BRIAN MATHWICH (MD)
- **Authorized official phone:** (303) 702-1612

## Contact information

- **Practice address:** 205 S MAIN ST, LONGMONT, CO 80501-1716
- **Practice address phone:** (303) 702-1612
- **Mailing address:** 205 S MAIN ST, LONGMONT, CO 80501-1716
- **Mailing address phone:** (303) 702-1612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | PTL.0011880 | CO | Yes |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 04/23/2013