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Organization

KEVIN MATTESON MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN M MATTESON MD (PRESIDENT)
(970) 565-6670
Entity
Organization

Contact information

Practice address
111 N PARK ST, CORTEZ, CO 81321-3340
(970) 565-6670
(970) 565-6673
Mailing address
111 N PARK ST, CORTEZ, CO 81321-3340
(970) 565-6670
(970) 565-6673

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39709
CO

Other

Enumeration date
08/25/2008
Last updated
08/25/2008
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