Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | MD156791 | OR |
NPI | 1548564545 |
---|---|
Provider Name | Dr. Michael Arthur Schwartz |
First Address | Edwards, CO 81632-6290 |
Second Address | Edwards, CO 81632-6290 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2011 |
Last Update Date | 26/10/2020 |