Individual
MR. MATTHEW HARMER COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FT CARSON, CO 80913-4604
(719) 290-1186
Mailing address
914 OLD RANCH RD, FLORISSANT, CO 80816-9070
(719) 290-1186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83701
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
42795
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35107227
—
CO
Enumeration date
04/25/2006
Last updated
01/05/2025
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