Individual
MR. CHARLES JOHN SCHOEPHOERSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5190 W 120TH AVE, BROOMFIELD, CO 80020-3332
(855) 925-4733
Mailing address
5190 W 120TH AVE, BROOMFIELD, CO 80020-3332
(855) 925-4733
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
665
CO
Other
Enumeration date
09/19/2007
Last updated
01/22/2020
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