Individual provider · Type 1 NPI

Matthew L. Thibdeau, RPA-C

Surgical Physician Assistant · Lafayette, CO

NPI number 1235324237 Active

Practice location

300 Exempla Cir, Suite 360
Lafayette, CO 80026-3397

Call (303) 689-6560 Map

Fax (303) 689-6550

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-3205 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1235324237

Matthew L. Thibdeau, RPA-C's National Provider Identifier is 1235324237, issued on Sep 12, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lafayette, CO. The record was last updated on Sep 13, 2011.