Healthcare Provider Details

I. General information

NPI: 1972536860
Provider Name (Legal Business Name): JAMES K SCHROEDER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 PATTERSON RD SUITE 603
GRAND JUNCTION CO
81506-1953
US

IV. Provider business mailing address

425 PATTERSON RD SUITE 603
GRAND JUNCTION CO
81506-1953
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-9694
  • Fax: 970-242-5021
Mailing address:
  • Phone: 970-241-9694
  • Fax: 970-242-5021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number26756
License Number StateCO

VIII. Authorized Official

Name: DR. JAMES K SCHROEDER
Title or Position: OWNER
Credential: MD
Phone: 970-241-9694