Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2478 | AZ |
Y | 111NI0900X | Internist | 2478 | AZ |
NPI | 1003805193 |
---|---|
Provider Name | Dr. David M Schwartz |
First Address | Tucson, AZ 85733-3160 |
Second Address | Tucson, AZ 85741-3529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 10/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
410051 | (05) | AZ |
E28700 | (02) |