Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2001020604 | MO |
NPI | 1154497717 |
---|---|
Provider Name | Dr. Frank E. Schmidt JR. |
First Address | Springfield, MO 65801-2580 |
Second Address | Springdale, AR 72764-5374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 11/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205371602 | (05) | MO |
H21057 | (02) | MO |