Basic Information
| Provider Information | |||||||||
| NPI: | 1578555637 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHOLZ | ||||||||
| FirstName: | THERESA | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3464 S WILLOW ST STE 658 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802314531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037552900 | ||||||||
| FaxNumber: | 3037550404 | ||||||||
| Practice Location | |||||||||
| Address1: | 4545 E 9TH AVE STE 220 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802203909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033294840 | ||||||||
| FaxNumber: | 3033294849 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2005 | ||||||||
| LastUpdateDate: | 11/07/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ND0900X | 294519-1205 | UT | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207N00000X | 294519-1205 | UT | N | Allopathic & Osteopathic Physicians | Dermatology | 207ND0900X | 37744 | CO | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207NS0135X | 294519-1205 | UT | N | Allopathic & Osteopathic Physicians | Dermatology | Procedural Dermatology | 207N00000X | 37744 | CO | Y | Allopathic & Osteopathic Physicians | Dermatology | 207NP0225X | 37744 | CO | N | Allopathic & Osteopathic Physicians | Dermatology | Pediatric Dermatology | 207NP0225X | 294519-1205 | UT | N | Allopathic & Osteopathic Physicians | Dermatology | Pediatric Dermatology | 207NS0135X | 37744 | CO | N | Allopathic & Osteopathic Physicians | Dermatology | Procedural Dermatology |
No ID Information.