Provider Demographics
NPI:1437110954
Name:CYPHERS, MATTHEW PAUL (MD)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:PAUL
Last Name:CYPHERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:710 WELLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6123
Mailing Address - Country:US
Mailing Address - Phone:970-298-7106
Mailing Address - Fax:970-298-7177
Practice Address - Street 1:2635 N 7TH ST
Practice Address - Street 2:4 CENTER
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8209
Practice Address - Country:US
Practice Address - Phone:970-298-7106
Practice Address - Fax:970-298-7177
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO45816207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO91825211Medicaid
UT1437110954Medicaid
CO91825211Medicaid
COC809276Medicare PIN