Most Relevant Information
Provider Data
| NPI Number: | 1003176223 |
| Provider Name: | MATTHEW NILAN D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | OP61265223 |
Most Important Dates
| Enumeration Date: | 05/22/2012 |
| Last Updated: | 06/08/2022 |
Provider Practice Location
1650 COCHRANE CIR
FORT CARSON
CO
809134613
Practice Location Phone/Fax
| Phone: | 7197280869 |
| Fax: |
Provider Mailing Location
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD
WA
984311000
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |