Individual
DR. MATTHEW RYAN HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(419) 350-7755
Mailing address
5420 BACKGLEN DR, COLORADO SPRINGS, CO 80906-8600
(419) 350-7755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47886
CO
207P00000X
Emergency Medicine Physician
MT189327
PA
Other
Enumeration date
09/22/2008
Last updated
09/07/2011
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