Organization
MATTHEWS-VU MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE BOGUE (CREDENTIAING)
(719) 632-4455
Entity
Organization
Contact information
Practice address
4150 E. WOODMEN RD., SUITE 100, COLORADO SPRINGS, CO 80920-8042
(719) 418-2121
(719) 633-4613
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
02/28/2020
Last updated
10/26/2020
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