Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO60977510 | WA |
N | 222Z00000X | Podiatrist | PO60977510 | WA |
N | 213EP1101X | Primary Podiatric Medicine | PO60977510 | WA |
N | 111NR0200X | Radiology | PO60977510 | WA |
N | 213ER0200X | Radiology | PO60977510 | WA |
N | 2081S0010X | Sports Medicine | PO60977510 | WA |
N | 213ES0000X | Sports Medicine | PO60977510 | WA |
Y | 213ES0103X | Foot & Ankle Surgery | PO60977510 | WA |
NPI | 1326427584 |
---|---|
Provider Name | Dr. Mallory Schweitzer |
First Address | Puyallup, WA 98374-8847 |
Second Address | Puyallup, WA 98374-8847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2015 |
Last Update Date | 18/05/2020 |