MATTHEW G WARK

LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

Dr MATTHEW G WARK is a male medical professional, specializing in Physician Assistant. He graduated in 2009.

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LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

106 BLANCA AVE
ALAMOSA
CO
811012340

Tel:

MATTHEW G WARK Information

Npi 1720228935
Pac Id 9133270820
Professional Enrollment Id I20151019000985
Last Name WARK
First Name MATTHEW
Middle Name G
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Group Practice Pac Id 4789589094
Number Of Group Practice Members 72
Line 1 Street Address 106 BLANCA AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALAMOSA
State CO
Zip Code 811012340
Phone Number
Hospital Affiliation Ccn 1 061320
Hospital Affiliation Lbn 1 GUNNISON VALLEY HOSPITAL
Hospital Affiliation Ccn 2 060008
Hospital Affiliation Lbn 2 SAN LUIS VALLEY HEALTH
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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