Matsuda, Gordon T
Matsuda, Gordon T is an individual health care provider with primary practice located at 3434 47Th St Suite 101, Boulder CO 80301-1880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Matsuda, Gordon T can be contacted via phone (303) 444-0840.Contact Information
Primary practice address
3434 47Th St Suite 101
Boulder CO 80301-1880
Phone: (303) 444-0840
Fax: (303) 444-0838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 20793 | Colorado |
Profile Details
| NPI number | 1679551204 |
|---|---|
| LBN Legal business name | Matsuda, Gordon T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jan 30th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679551204 | NPPES |
| Colorado | MEDICAID | 29504074 |
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