Organization
327 MEDICAL PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL EVANS SCHALER MD (PRESIDENT)
(719) 539-6637
Entity
Organization
Contact information
Practice address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
(719) 539-5275
Mailing address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
(719) 539-5275
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
208D00000X
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04006110
—
CO
Enumeration date
05/04/2007
Last updated
03/24/2020
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