Individual
MATTHEW PATRICK WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12631 E 17TH AVE, AURORA, CO 80045
(303) 861-7001
(303) 861-8624
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 861-7001
(303) 861-8624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59006
CO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9149613-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2013
Last updated
12/16/2021
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