Individual
MATTHEW JAMES WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S2
Contact information
Practice address
8401 S CHAMBERS RD, ENGLEWOOD, CO 80112-3276
(949) 212-6145
Mailing address
2080 CALIFORNIA ST APT 438, DENVER, CO 80205-4997
(949) 212-6145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0009573
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
03/13/2026
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