Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 21072 | CO |
NPI | 1003808759 |
---|---|
Provider Name | Dr. Donald Joseph Schneider |
First Address | Greenwood Village, CO 80111 |
Second Address | Greenwood Village, CO 80111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 11/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01210723 | (05) | CO |
D23873 | (02) |