Healthcare Provider Details

I. General information

NPI: 1760579502
Provider Name (Legal Business Name): RICK STEEN SCHWETTMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 12/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 EAST HAMPDEN AVENUE SUITE 200
ENGLEWOOD CO
80113
US

IV. Provider business mailing address

499 EAST HAMPDEN AVENUE SUITE 200
ENGLEWOOD CO
80113
US

V. Phone/Fax

Practice location:
  • Phone: 303-761-8385
  • Fax: 303-761-8381
Mailing address:
  • Phone: 303-761-8385
  • Fax: 303-761-8381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number30628
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: