Organization
SOUTHWESTERN COLORADO EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M. SCHACKEL M.D. (PRESIDENT)
(970) 385-7272
Entity
Organization
Contact information
Practice address
1 MERCADO ST, SUITE 205, DURANGO, CO 81301-7300
(970) 385-7272
(970) 385-7299
Mailing address
1 MERCADO ST, SUITE 205, DURANGO, CO 81301-7300
(970) 385-7272
(970) 385-7299
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DR44598
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93787278
—
CO
Enumeration date
07/09/2006
Last updated
10/07/2014
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