Individual
JASON D SCHMIDTHUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1079 S HOVER ST STE 200, LONGMONT, CO 80501-7924
(303) 645-4241
(720) 790-7053
Mailing address
1079 S HOVER ST STE 200, LONGMONT, CO 80501-7924
(303) 645-4241
(720) 790-7053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1646
CO
363AM0700X
Medical Physician Assistant
1646
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90577710
—
CO
01
—
P00384483
RR MEDICARE
CO
Enumeration date
02/14/2006
Last updated
07/03/2023
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