MEDICARE: DR. SARA LOUISE ANSCHUETZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	40235	CO

General Provider Information

NPI Number	:	1043279714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA LOUISE ANSCHUETZ M.D.

Provider Business Mailing Address
First Line	:	2490 W 26TH AVE
Second Line	:	SUITE 220
City	:	DENVER
State	:	CO
Zip	:	80211-5314
Country	:	US
Telephone Number	:	303-433-9729
Fax Number	:	303-480-0405

Provider Business Practice Location Address
First Line	:	2490 W 26TH AVE
Second Line	:	SUITE 220
City	:	DENVER
State	:	CO
Zip	:	80211-5314
Country	:	US
Telephone Number	:	303-433-9729
Fax Number	:	303-480-0405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/08/2007

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