Healthcare Provider Details

I. General information

NPI: 1801833389
Provider Name (Legal Business Name): SCHRYVER MEDICAL SALES AND MARKETING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 10/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11585 E 53RD AVE UNIT H
DENVER CO
80239-2330
US

IV. Provider business mailing address

12075 E 45TH AVE SUITE 600
DENVER CO
80239-3123
US

V. Phone/Fax

Practice location:
  • Phone: 303-371-0073
  • Fax: 303-785-9283
Mailing address:
  • Phone: 303-371-0073
  • Fax: 303-785-9326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number02-74852-0000
License Number StateCO

VIII. Authorized Official

Name: MR. DOUG GOETZ
Title or Position: CEO
Credential:
Phone: 303-371-0073