Provider Demographics
NPI:1417930280
Name:SAENZ, SUZANNE E (MD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:E
Last Name:SAENZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2032 LOWE ST UNIT 103
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5772
Mailing Address - Country:US
Mailing Address - Phone:970-223-0193
Mailing Address - Fax:970-223-2860
Practice Address - Street 1:2032 LOWE ST UNIT 103
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5772
Practice Address - Country:US
Practice Address - Phone:970-223-0193
Practice Address - Fax:970-223-2860
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34407207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3725637Medicaid
CO01344076Medicaid
COSA99324OtherANTHEM BCBS
AZ181687Medicaid
AZ181687Medicaid
COC552318Medicare PIN
CA3725637Medicaid
AZ181687Medicaid