Individual
CORA ROSE MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
12250 E ILIFF AVE, #300, AURORA, CO 80014-6318
(303) 306-4321
(720) 524-1551
Mailing address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 923-1239
(303) 284-4082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2825
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23883871
—
CO
Enumeration date
09/24/2009
Last updated
09/18/2019
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