Individual
MATTHEW PAUL NOWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W 8TH AVE, YUMA, CO 80759-2641
(970) 848-5405
(970) 848-5475
Mailing address
1000 W 8TH AVE, YUMA, CO 80759-2641
(970) 848-5405
(970) 848-5475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
464198
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33827087
—
CO
05
—
8473076
—
WA
01
—
G8867053
MEDICARE GROUP
WA
Enumeration date
06/21/2005
Last updated
03/24/2021
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