Individual
MATTHEW PENDERGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
14991 E HAMPDEN AVE STE 110, AURORA, CO 80014-3980
(303) 343-9500
Mailing address
300 W 11TH AVE UNIT 11G, DENVER, CO 80204-3690
(251) 363-9872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0998814
CO
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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