Individual
MATTHEW L GOODSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 BLAKE AVE, SUITE 201, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-1112
(970) 945-4868
Mailing address
1830 BLAKE AVE, SUITE 201, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-1112
(970) 945-4868
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
31599
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01315993
—
CO
01
—
1871787168
MEDICARE
CO
Enumeration date
01/09/2007
Last updated
07/06/2023
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