Basic Information
| Provider Information | |||||||||
| NPI: | 1477660785 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHUH | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | H | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 22045 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802220045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037580582 | ||||||||
| FaxNumber: | 3037536636 | ||||||||
| Practice Location | |||||||||
| Address1: | 3773 CHERRY CREEK DRIVE NORTH | ||||||||
| Address2: | SUITE 1015 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802093804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037983467 | ||||||||
| FaxNumber: | 3037536636 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2006 | ||||||||
| LastUpdateDate: | 10/10/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 38861 | CO | Y | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 53127234 | 05 | CO | MEDICAID |