Provider Demographics
NPI:1588959944
Name:DENVER TRAVEL MEDICINE CLINIC, PC
Entity type:Organization
Organization Name:DENVER TRAVEL MEDICINE CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNURR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-222-2118
Mailing Address - Street 1:9620 E ARAPAHOE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3703
Mailing Address - Country:US
Mailing Address - Phone:303-222-2118
Mailing Address - Fax:303-320-5399
Practice Address - Street 1:9620 E ARAPAHOE RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112-3703
Practice Address - Country:US
Practice Address - Phone:303-222-2118
Practice Address - Fax:303-320-5399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO48011261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service