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Individual

MATTHEW NILAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 728-0869
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61265223
WA

Other

Enumeration date
05/22/2012
Last updated
06/08/2022
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