Individual
DR. MATTHEW G. DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
274 UNION BLVD, SUITE 110, LAKEWOOD, CO 80228-1813
(303) 951-0600
(303) 951-0605
Mailing address
274 UNION BLVD, SUITE 110, LAKEWOOD, CO 80228-1813
(303) 951-0600
(303) 951-0605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36756
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
36756
CO
207RP1001X
Pulmonary Disease Physician
36756
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04594040
—
CO
05
—
122157400
—
WY
05
—
200088630A
—
OK
05
—
200389270A
—
KS
05
—
29423538
—
CO
05
—
51632365
—
NM
05
—
8464620
—
WA
05
—
Z3324
—
UT
Enumeration date
02/27/2006
Last updated
01/18/2012
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