Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 46093 | CO |
N | 111NI0900X | Internist | 46093 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | 46093 | CO |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 46093 | CO |
NPI | 1144367434 |
---|---|
Provider Name | Joseph Schuller |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 18/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
49526847 | (05) | CO |