Provider Demographics
NPI:1366449712
Name:SCHMITZ, DIANE M (MD)
Entity type:Individual
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First Name:DIANE
Middle Name:M
Last Name:SCHMITZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9397 CROWN CREST BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8575
Mailing Address - Country:US
Mailing Address - Phone:303-766-0197
Mailing Address - Fax:303-766-0187
Practice Address - Street 1:9397 CROWN CREST BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8575
Practice Address - Country:US
Practice Address - Phone:303-766-0197
Practice Address - Fax:303-766-0187
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2013-04-02
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Provider Licenses
StateLicense IDTaxonomies
CO305531207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01305531Medicaid
CO01305531Medicaid