Individual
MATTHEW CHARLES GRZEGOZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10101 RIDGEGATE PARKWAY, LONE TREE, CO 80124-9810
(720) 225-1900
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D66242
MD
207P00000X
Emergency Medicine Physician
Primary
DR.0052852
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99936383
—
CO
01
—
P01250125
RAILROAD MEDICARE
CO
Enumeration date
05/15/2007
Last updated
07/02/2015
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