Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 36172 | AZ |
NPI | 1689638876 |
---|---|
Provider Name | Dr. Frank Schraml |
First Address | Los Angeles, CA 90074-6765 |
Second Address | Phoenix, AZ 85013-4409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 19/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
146327 | (05) | AZ |