Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 1809 | NM |
NPI | 1235306242 |
---|---|
Provider Name | Dr. William Albert Schulz |
First Address | Peoria, AZ 85382-8655 |
Second Address | Albuquerque, NM 87110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 04/06/2008 |