| Dr Rudolf Thomas Schmiedt I, MD | |
|
30960 Stagecoach Blvd, Suite W-120, Evergreen, CO 80439-7902 | |
| (303) 674-6671 | |
| (303) 674-0031 |
| Full Name | Dr Rudolf Thomas Schmiedt I |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 30960 Stagecoach Blvd, Evergreen, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376696013 | NPI | - | NPPES |
| 40308332 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34411 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rudolf Thomas Schmiedt I, MD 30960 Stagecoach Blvd, Suite W-120, Evergreen, CO 80439-7902 Ph: (303) 674-6671 | Dr Rudolf Thomas Schmiedt I, MD 30960 Stagecoach Blvd, Suite W-120, Evergreen, CO 80439-7902 Ph: (303) 674-6671 |
Dr. Kenneth John Kutalek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30960 Stagecoach Blvd, Suite W120, Evergreen, CO 80439 Phone: 303-674-6671 Fax: 303-674-0031 |