Healthcare Provider Details

I. General information

NPI: 1821292582
Provider Name (Legal Business Name): WILLIAM B. SCHOOLCRAFT M.D. P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 11/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10290 RIDGEGATE CIR
LONETREE CO
80124-5331
US

IV. Provider business mailing address

10290 RIDGEGATE CIR
LONETREE CO
80124-5331
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-8300
  • Fax: 720-873-6225
Mailing address:
  • Phone: 303-788-8300
  • Fax: 720-873-6225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0006X
TaxonomyAmbulatory Fertility Facility
License Number1604MS
License Number StateCO

VIII. Authorized Official

Name: DEBRA ROTH
Title or Position: ADMIN
Credential:
Phone: 303-789-5706