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Search › Colorado › 207R00000X

Jacob Mathew, D.O

NPI 1992068894 · on the registry since 2012

Practice

Address
1650 Cochrane Cir
Evans Army Community Hospital
Fort Carson, CO 80913
Phone
(719) 526-6073
Organisation at this address
Usa Meddac
Denver Vamc
Ach Evans-Carson
Evans Army Community Hospital
Evans Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
491

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
HI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado