Provider Demographics
NPI:1083795876
Name:MARKOWSKI, MATTHEW J (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
Last Name:MARKOWSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2975 ROSLYN ST UNIT 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3326
Mailing Address - Country:US
Mailing Address - Phone:303-399-7900
Mailing Address - Fax:303-399-7999
Practice Address - Street 1:1258 S PEARL ST STE 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1538
Practice Address - Country:US
Practice Address - Phone:303-399-7970
Practice Address - Fax:303-399-7905
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2022-03-21
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Provider Licenses
StateLicense IDTaxonomies
CODR.0055009208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO58729551Medicaid