Healthcare Provider Details

I. General information

NPI: 1700840709
Provider Name (Legal Business Name): MARY JO SCHMITZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE SUITE 210
ENGLEWOOD CO
80113-2736
US

IV. Provider business mailing address

701 E HAMPDEN AVE SUITE 210
ENGLEWOOD CO
80113-2736
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-9090
  • Fax: 303-781-8710
Mailing address:
  • Phone: 303-781-9090
  • Fax: 303-781-8710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number38958
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: