Organization
SCHRYVER MEDICAL SALES AND MARKETING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG GOETZ (CEO)
(303) 371-0073
Entity
Organization
Contact information
Practice address
11585 E 53RD AVE, UNIT H, DENVER, CO 80239-2330
(303) 371-0073
(303) 785-9283
Mailing address
12075 E 45TH AVE, SUITE 600, DENVER, CO 80239-3123
(303) 371-0073
(303) 785-9326
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
02-74852-0000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20327889
—
CO
01
—
630001643
RAILROAD MEDICARE
CO
01
—
675809
BLUE CROSS
CO
Enumeration date
06/01/2006
Last updated
10/10/2014
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