Individual
MATTHEW GILLEN DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 EAST ELIZABETH STREET, FORT COLLINS, CO 80524
(970) 482-2791
(970) 495-9843
Mailing address
1321 CATALPA DRIVE, FORT COLLINS, CO 80521
(970) 223-2469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39325
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19424033
—
CO
Enumeration date
01/03/2006
Last updated
10/23/2009
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