Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 294519-1205 | UT |
Y | 207N00000X | Dermatologist | 37744 | CO |
N | 207ND0900X | Dermatopathologist | 294519-1205 | UT |
N | 207ND0900X | Dermatopathologist | 37744 | CO |
N | 207NP0225X | Pediatric Dermatologist | 294519-1205 | UT |
N | 207NP0225X | Pediatric Dermatologist | 37744 | CO |
N | 207NS0135X | Procedural Dermatology | 294519-1205 | UT |
N | 207NS0135X | Procedural Dermatology | 37744 | CO |
NPI | 1578555637 |
---|---|
Provider Name | Dr. Theresa A. Scholz |
First Address | Denver, CO 80231-4531 |
Second Address | Denver, CO 80220-3909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 07/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G36277 | (02) |