Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 5877 | CO |
NPI | 1205957875 |
---|---|
Provider Name | Dr. Dean Allen Schaner |
First Address | Denver, CO 80206-4726 |
Second Address | Denver, CO 80206-4726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |