Organization
MATTHEWS-VU MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE BOGUE (CREDENTIALING SPECIALIST)
(719) 632-4455
Entity
Organization
Contact information
Practice address
104 PRO RODEO DRIVE, SUITE 100, COLORADO SPRINGS, CO 80919-2334
(719) 632-4455
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/24/2020
Last updated
10/25/2020
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