Healthcare Provider Details

I. General information

NPI: 1750369534
Provider Name (Legal Business Name): HAYES K SCHLUNDT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 BLAKE AVE
GLENWOOD SPGS CO
81601-4227
US

IV. Provider business mailing address

PO BOX 2023
GLENWOOD SPGS CO
81602-2023
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-6535
  • Fax:
Mailing address:
  • Phone: 970-945-1443
  • Fax: 970-947-9410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number30347
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: