Individual
DR. MATTHEW DAVID POULIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3744 S TIMBERLINE RD, SUITE 102, FORT COLLINS, CO 80525-4333
(970) 495-0506
(970) 495-0485
Mailing address
3744 S TIMBERLINE RD, SUITE 102, FORT COLLINS, CO 80525-4333
(970) 495-0506
(970) 495-0485
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
48088
CO
208VP0000X
Pain Medicine Physician
Primary
DR.0048088
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026360700
—
NE
05
—
132413600
—
WY
05
—
53107578
—
CO
Enumeration date
07/08/2008
Last updated
08/26/2016
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