Individual
MATTHEW G WARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
711 N TAYLOR ST, GUNNISON, CO 81230-2243
(970) 641-1456
Mailing address
711 N TAYLOR ST, GUNNISON, CO 81230-2296
(970) 641-1456
(970) 641-4461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7541
AZ
363A00000X
Physician Assistant
Primary
PA.0004357
CO
Other
Enumeration date
02/27/2009
Last updated
03/26/2025
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