Individual
MATTHEW STEVEN CHERNIKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5134 N NEVADA AVE STE 100, COLORADO SPRINGS, CO 80918-8699
(719) 598-5698
Mailing address
6284 TWIN OAKS DR APT 2222, COLORADO SPRINGS, CO 80918-8329
(630) 247-0513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005468
CO
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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