Individual
MATTHEW W BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
575 RIVERGATE, DURANGO, CO 81301-7487
(970) 259-3020
Mailing address
575 RIVERGATE, DURANGO, CO 81301-7487
(970) 259-3020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3953
CO
363AM0700X
Medical Physician Assistant
PA2018-0081
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
571480
—
AZ
05
—
80276300
—
CO
Enumeration date
11/10/2010
Last updated
07/30/2021
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