Provider Demographics
NPI:1700840709
Name:SCHMITZ, MARY JO (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:JO
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2736
Mailing Address - Country:US
Mailing Address - Phone:303-781-9090
Mailing Address - Fax:303-781-8710
Practice Address - Street 1:701 E HAMPDEN AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2736
Practice Address - Country:US
Practice Address - Phone:303-781-9090
Practice Address - Fax:303-781-8710
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2022-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO38958207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0033286Medicaid
WY115942900Medicaid
CO88950379Medicaid
CO88950379Medicaid