Organization
MATTHEWS-VU MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE BOGUE (CREDENTIALING)
(719) 632-4455
Entity
Organization
Contact information
Practice address
1050 S. ACADEMY BLVD, SUITE 140, COLORADO SPRINGS, CO 80910-3922
(719) 574-7083
(719) 574-1226
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/28/2020
Last updated
10/26/2020
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