Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 00202428 | CO |
NPI | 1073748513 |
---|---|
Provider Name | Dr. Matthew Steuer |
First Address | Portland, ME 04102-2144 |
Second Address | Colorado Springs, CO 80917-5332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2009 |
Last Update Date | 17/03/2018 |