Provider Demographics
NPI:1295162832
Name:DAVID P. SCHNUR M.D. P.C.
Entity type:Organization
Organization Name:DAVID P. SCHNUR M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHNUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-830-7200
Mailing Address - Street 1:1601 E 19TH AVE STE 5150
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1201
Mailing Address - Country:US
Mailing Address - Phone:303-830-7200
Mailing Address - Fax:303-830-7523
Practice Address - Street 1:1601 E 19TH AVE STE 5150
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1201
Practice Address - Country:US
Practice Address - Phone:303-830-7200
Practice Address - Fax:303-830-7523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR. 0040943208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000147717Medicaid
CO314292Medicare PIN