Individual
DR. MATTHEW BOSCHERT PERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 W 14TH, BUILDING C, RIFLE, CO 81650-4700
(970) 945-2840
(970) 945-2893
Mailing address
2700 GILSTRAP CT, SUITE 230, GLENWOOD SPRINGS, CO 81601-8735
(970) 945-2840
(970) 945-2893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0054060
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37532251
—
CO
Enumeration date
03/31/2011
Last updated
04/14/2020
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