# MATTHEWS-VU MEDICAL GROUP, P.C.

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

## Provider details

- **NPI number:** 1598399537
- **Authorized official:** KATE BOGUE (CREDENTIALING)
- **Authorized official phone:** (719) 632-4455

## Contact information

- **Practice address:** 629 N. NEVADA AVE, SUITE 110, COLORADO SPRINGS, CO 80903-1040
- **Practice address phone:** (719) 632-4455
- **Mailing address:** 4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
- **Mailing address phone:** (719) 632-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 02/28/2020
- **Last updated:** 10/25/2020