Individual
ANGIE D SCHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9777 S YOSEMITE ST, STE. 220, LONETREE, CO 80124-3191
(303) 699-7325
(303) 699-5486
Mailing address
9777 S YOSEMITE ST, STE. 220, LONETREE, CO 80124-3191
(303) 699-7325
(303) 699-5486
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1756
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0001756
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81188544
—
CO
Enumeration date
11/21/2005
Last updated
01/09/2024
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