Individual
THOMAS MATTHEW STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045
(303) 493-7000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0001187
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0001187
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62202065
—
CO
Enumeration date
08/14/2008
Last updated
11/01/2018
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