Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 34894 | CO |
NPI | 1003827049 |
---|---|
Provider Name | Paul William Schadler |
First Address | Denver, CO 80237-2032 |
Second Address | Denver, CO 80204-2006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
37500562 | (05) | CO |
E33491 | (02) |