Basic Information
Provider Information
NPI: 1245514355
EntityType: 2
ReplacementNPI:  
OrganizationName: COLORADO URGENT CARE PHYSICIANS, PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: DOCTORS EXPRESS ENGLEWOOD
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 37 CORAL PL
Address2:  
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801113460
CountryCode: US
TelephoneNumber: 3037710591
FaxNumber: 3037710242
Practice Location
Address1: 901 W HAMPDEN AVE
Address2: SUITE 103
City: ENGLEWOOD
State: CO
PostalCode: 801107331
CountryCode: US
TelephoneNumber: 3037611699
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/07/2011
LastUpdateDate: 10/07/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SCHIERMEYER
AuthorizedOfficialFirstName: ROBERT
AuthorizedOfficialMiddleName: PAUL
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 7202528245
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QU0200X37093COY Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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