Individual
MATTHEW MULHALL PONTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7000
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR0070310
CO
2084P0800X
Psychiatry Physician
OS015478
PA
Other
Enumeration date
01/27/2006
Last updated
05/23/2024
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