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Individual

MATTHEW DAVID JONATHAN PROK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14301 E HAMPDEN AVE, AURORA, CO 80014-3902
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DR.0055019
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DR.0055019
CO

Other

Enumeration date
03/25/2012
Last updated
03/25/2021
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