Organization
CENTENNIAL VALLEY WOMENS CLINIC
Active
Other names
S Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN SUE SCHAFFTER MD (OWNER DOCTOR)
(303) 673-0777
Entity
Organization
Contact information
Practice address
511 CROSSING DR, #100A, LAFAYETTE, CO 80026
(303) 673-0777
(303) 673-9313
Mailing address
511 CROSSING DR, #100A, LAFAYETTE, CO 80026
(303) 673-0777
(303) 673-9313
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008777
—
CO
Enumeration date
08/17/2006
Last updated
08/22/2020
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