Healthcare Provider Details
I. General information
NPI: 1255513800
Provider Name (Legal Business Name): CHRISTOPHER ALAN SCHWARZ DVM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/05/2007
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12311 WASHINGTON ST
THORNTON CO
80241-3103
US
IV. Provider business mailing address
12311 WASHINGTON ST
THORNTON CO
80241-3103
US
V. Phone/Fax
- Phone: 303-451-1333
- Fax: 303-451-1690
- Phone: 303-451-1333
- Fax: 303-451-1690
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174M00000X |
| Taxonomy | Veterinarian |
| License Number | 7972 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174M00000X |
| Taxonomy | Veterinarian |
| License Number | 6725 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: