Individual
DR. JOHN JOSEPH SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 W 17TH ST, PUEBLO, CO 81003-2622
(719) 543-2211
(719) 584-4779
Mailing address
509 W 17TH ST, PUEBLO, CO 81003-2622
(719) 543-2211
(719) 584-4779
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26193
CO
207ND0900X
Dermatopathology Physician
26193
CO
207NS0135X
Procedural Dermatology Physician
26193
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261932
—
CO
Enumeration date
07/28/2005
Last updated
10/20/2015
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