Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 6548 | AZ |
NPI | 1164519542 |
---|---|
Provider Name | Betty Schindler |
First Address | Peoria, AZ 85381-4837 |
Second Address | Peoria, AZ 85381-4837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 05/12/2008 |