Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | G79360 | CA |
NPI | 1053346353 |
---|---|
Provider Name | Dr. Donald Scott Schmidt |
First Address | Petaluma, CA 94954-2339 |
Second Address | Petaluma, CA 94954-2339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 11/02/2022 |