Provider Demographics
NPI:1801820733
Name:DAVID W SCHALLER, MD, PC
Entity Type:Organization
Organization Name:DAVID W SCHALLER, MD, PC
Other - Org Name:STEAMBOAT SPRINGS WOMEN'S CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHALLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-879-3738
Mailing Address - Street 1:940 CENTRAL PARK DR
Mailing Address - Street 2:#209
Mailing Address - City:STEAMBOAT SPR
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8816
Mailing Address - Country:US
Mailing Address - Phone:970-879-3738
Mailing Address - Fax:970-870-6441
Practice Address - Street 1:940 CENTRAL PARK DR
Practice Address - Street 2:#209
Practice Address - City:STEAMBOAT SPR
Practice Address - State:CO
Practice Address - Zip Code:80487-8816
Practice Address - Country:US
Practice Address - Phone:970-879-3738
Practice Address - Fax:970-870-6441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31461207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCH5508Medicare PIN