Individual
NAOMI R MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9331 S COLORADO BLVD, SUITE 200, HIGHLANDS RANCH, CO 80126-7467
(303) 471-4711
(303) 471-4767
Mailing address
31349 ROBINSON HILL RD, GOLDEN, CO 80403-7754
(312) 451-6261
(312) 451-6261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0053583
CO
207Q00000X
Family Medicine Physician
A109591
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2008
Last updated
12/28/2024
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