Healthcare Provider Details

I. General information

NPI: 1467473355
Provider Name (Legal Business Name): THERESA A SCHOLZ MD PC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 11/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E 9TH AVE STE 220
DENVER CO
80220-3909
US

IV. Provider business mailing address

3464 S WILLOW ST SUITE 658
DENVER CO
80231-4531
US

V. Phone/Fax

Practice location:
  • Phone: 303-329-4840
  • Fax: 303-329-4849
Mailing address:
  • Phone: 303-755-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THERESA A. SCHOLZ
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 303-755-2900