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Individual

MATTHEW GIPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-38597
KS
2085R0202X
Diagnostic Radiology Physician
28964
NE
2085R0202X
Diagnostic Radiology Physician
48923
CO
2085R0202X
Diagnostic Radiology Physician
MD18441
HI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0048923
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025709000
NE
05
10026277300
NE
05
10026277400
NE
05
10026277500
NE
05
10026277600
NE
05
10026277700
NE
05
10026277800
NE
05
1255431235
UT
05
200620590A
OK
05
201123570A
KS
05
84059792913
NE
05
84089712600
NE
05
98071831
CO
01
P01599148
RIA RR MEDICARE
CO
01
P01646276
RAILROAD MEDICARE RIN
NE
Enumeration date
09/22/2006
Last updated
11/17/2023
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