Individual
MATTHEW L KOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, DEPT OF ANESTHESIA - MEMORIAL HOSPITAL, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
Mailing address
DEPT # 1029, DEPT OF ANESTHESIA - MEMORIAL HOSPITAL, DENVER, CO 80263-0001
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45631
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
808701
BLUE CROSS BLUE SHIELD
CO
05
—
93272065
—
CO
Enumeration date
07/19/2006
Last updated
10/10/2007
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