Individual
DR. TOM G MATZAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
42182
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015259
KAISER COMMERCIAL NUMBER
CO
05
—
22104712
—
CO
Enumeration date
02/27/2007
Last updated
06/22/2021
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