Individual
DR. MATTHEW JAMES EADENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
104309
MN
207RH0003X
Hematology & Oncology Physician
Primary
51371
CO
207RH0003X
Hematology & Oncology Physician
52199
MN
390200000X
Student in an Organized Health Care Education/Training Program
104309
MN
390200000X
Student in an Organized Health Care Education/Training Program
TL-1935
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022632
KAISER COMMERCIAL NUMBER
CO
05
—
28656857
—
CO
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00794940
MEDICARE-RAIL ROAD
MN
Enumeration date
01/30/2007
Last updated
07/21/2022
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