| NPI | 1902816556 |
|---|---|
| Former Name | MATT LEDGES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 46017) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CO 46017) |
| 363A00000X Physician Assistant (Licence: CO 1348) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-02-27 |