Organization
PETER M. SCHMID, DO PC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MICHAEL SCHMID DO (MEDICAL DIRECTOR)
(303) 651-6770
Entity
Organization
Contact information
Practice address
1305 SUMNER ST, SUITE 100, LONGMONT, CO 80501-3270
(303) 651-6770
(303) 651-6794
Mailing address
1305 SUMNER ST, SUITE 100, LONGMONT, CO 80501-3271
(303) 651-6770
(303) 651-6794
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
32368
CO
208200000X
Plastic Surgery Physician
32368
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01323682
—
CO
Enumeration date
10/03/2013
Last updated
10/03/2013
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