Organization
MATTHEWS-VU MEDICAL GROUP, P.C.
Active
Parent organization
MATTHEWS-VU MEDICAL GROUP, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MATTHEWS-VU MEDICAL GROUP, P.C.
Authorized official
KATE BOGUE (CREDENTIALING)
(719) 632-4455
Entity
Organization
Contact information
Practice address
1715 N WEBER ST STE 120, COLORADO SPRINGS, CO 80907-7524
(719) 632-4455
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
10/28/2020
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