Individual
DANIEL MATTHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(805) 712-2873
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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