Individual
DR. GORDON T MATSUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3434 47TH ST, SUITE 101, BOULDER, CO 80301-1880
(303) 444-0840
(303) 444-0838
Mailing address
3434 47TH ST, SUITE 101, BOULDER, CO 80301-1880
(303) 444-0840
(303) 444-0838
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20793
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29504074
—
CO
Enumeration date
01/04/2006
Last updated
01/30/2009
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