Organization
INFECTIOUS DISEASE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G. TERRA M.D. (M.D.)
(303) 831-4774
Entity
Organization
Contact information
Practice address
1601 E 19TH AVENUE #3650, DENVER, CO 80218-1216
(303) 831-4774
(303) 839-7750
Mailing address
1601 E 19TH AVENUE #3650, DENVER, CO 80218-1216
(303) 831-4774
(303) 839-7750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36795
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36795
LICENSE
CO
05
—
42406846
—
CO
Enumeration date
12/30/2005
Last updated
01/30/2008
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