Provider Demographics
NPI:1427179001
Name:SCHOBER, VICKI M (MD)
Entity Type:Individual
Prefix:DR
First Name:VICKI
Middle Name:M
Last Name:SCHOBER
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 1:6945 TUTT BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-3566
Mailing Address - Country:US
Mailing Address - Phone:719-380-7325
Mailing Address - Fax:719-354-2212
Practice Address - Street 1:6945 TUTT BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-3566
Practice Address - Country:US
Practice Address - Phone:719-380-7325
Practice Address - Fax:719-354-2212
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COH00008Medicare UPIN