Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 33119 | CO |
NPI | 1306865498 |
---|---|
Provider Name | Dr. Paul Schkade |
First Address | Lakewood, CO 80401-3208 |
Second Address | Lakewood, CO 80401-3208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 21/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
68034342 | (05) | CO |