Individual
MATTHEW FOCAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1325 S COLORADO BLVD STE 509, DENVER, CO 80222-3320
(303) 321-0123
Mailing address
3329 E BAYAUD AVE APT 509, DENVER, CO 80209-3342
(386) 290-7028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006767
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0006767
STATE OF COLORADO BOARD OF MEDICINE
CO
Enumeration date
07/21/2021
Last updated
07/21/2021
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