Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 156598 | NC |
Y | 207P00000X | Emergency Physician | 8280012-1205 | UT |
NPI | 1003042375 |
---|---|
Provider Name | Dr. Eric Schenfeld |
First Address | Murray, UT 84107-5704 |
Second Address | Murray, UT 84107-5704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2009 |
Last Update Date | 14/08/2014 |