| Organization Name: | WORKWELL OCCUPATIONAL MEDICINE |
| NPI Number: | 1003137134 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN MATHWICH (MD) |
| Mailing Address: | 205 S Main St Longmont |
| State: | CO US |
| Postal Code: | 805011716 |
| Phone Number: | 3037021612 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2010 |
| NPI Last Update Date: | 04/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | PTL.0011880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |