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Individual

LOUISE E SCHOTTSTAEDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1925 E ORMAN SUITE 440, PUEBLO, CO 81004
(719) 560-4744
(719) 560-4770
Mailing address
1925 E ORMAN SUITE 440, PUEBLO, CO 81004
(719) 560-4744
(719) 560-4770

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27483
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01274836
CO
Enumeration date
04/06/2006
Last updated
04/04/2012
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