Healthcare Provider Details

I. General information

NPI: 1811934029
Provider Name (Legal Business Name): CYNTHIA A SCHAFER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 06/11/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4323 INTEGRITY CENTER PT
COLORADO SPRINGS CO
80917-1683
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-591-2558
  • Fax: 719-365-7681
Mailing address:
  • Phone: 970-624-2403
  • Fax: 970-490-4378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30345
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: