Individual
JEFFREY C SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27265
CO
207P00000X
Emergency Medicine Physician
Primary
27265
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01272657
—
CO
05
—
116746400
—
WY
01
—
930005405
RAILROAD MEDICARE
CO
01
—
P01148020
RAIL ROAD MEDICARE PIN
CO
Enumeration date
07/10/2006
Last updated
02/18/2014
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