Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | POD-000893 | AZ |
Y | 222Z00000X | Podiatrist | POD-000893 | AZ |
NPI | 1043667652 |
---|---|
Provider Name | James E Schmidt |
First Address | Phoenix, AZ 85032-9385 |
Second Address | Phoenix, AZ 85032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2016 |
Last Update Date | 31/07/2018 |