Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | E4134 | CA |
Y | 213ES0000X | Sports Medicine | E4134 | CA |
NPI | 1003920851 |
---|---|
Provider Name | Dr. Colleen Schwartz |
First Address | Pleasanton, CA 94566-0039 |
Second Address | Pleasanton, CA 94566-6625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |