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NPI Code Detail

MEDICARE: DR. MATTHEW W HYZY D.O.

MEDICARE: DR. MATTHEW W HYZY D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianCLO902NV
2208100000XPhysical Medicine & Rehabilitation PhysicianCDRH0056574CO

General Provider Information

NPI Number : 1508200288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW W HYZY D.O.
Provider Business Mailing Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 850-503-3919
Fax Number :
Provider Business Practice Location Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 850-503-3919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2013
Last Update Date : 04/08/2026

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