Individual
BRITTANY MATSUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 STAFFORD LN, DELTA, CO 81416-2229
(970) 874-2476
(970) 874-2849
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-2470
(970) 874-2849
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
228955
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
44447
CO
208100000X
Physical Medicine & Rehabilitation Physician
6174926-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840428757042
RMHP
—
05
—
87030268
—
CO
01
—
MA44447
BCBS
—
Enumeration date
06/29/2006
Last updated
02/26/2008
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