Healthcare Provider Details

I. General information

NPI: 1013253665
Provider Name (Legal Business Name): JOHN S SAUR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2012
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR # B7500
FT CARSON CO
80913-4613
US

IV. Provider business mailing address

1650 COCHRANE CIR # B7500
FT CARSON CO
80913-4613
US

V. Phone/Fax

Practice location:
  • Phone: 719-524-6399
  • Fax:
Mailing address:
  • Phone: 719-524-3699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberDR.0067043
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: