NPI 1154584266
Matthew David Pouliot, DO
Practice location
- Address
- 3744 S Timberline Rd Suite 102, Fort Collins, CO 80525-4333
- Phone
- (970) 495-0506
- Fax
- (970) 495-0485
Registered specialties (2)
Pain Medicine Physician
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1154584266
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Jul 2008
- Record last updated
- 26 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.