Individual
MR. MATTHEW TRACE HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
715 S 3RD ST, MONTROSE, CO 81401-4209
(970) 252-2800
(970) 240-7330
Mailing address
25073 HIGHWAY 85, GAY, GA 30218-1237
(770) 639-2416
(478) 352-0095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009061
GA
363A00000X
Physician Assistant
Primary
PA.0009025
CO
Other
Enumeration date
10/12/2018
Last updated
03/18/2025
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