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
5050 S 40TH ST, PHOENIX, AZ 85040-2902
(602) 426-0126
(303) 785-9283
Mailing address
12075 E 45TH AVE, SUITE 600, DENVER, CO 80239-3123
(303) 371-0073
(303) 785-9283
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
20067899
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
675809
BLUE CROSS
CO
05
—
936825
—
AZ
Enumeration date
06/01/2006
Last updated
10/10/2014
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