Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 16834 | AZ |
Y | 207RX0202X | Medical Oncology | 16834 | AZ |
NPI | 1295775302 |
---|---|
Provider Name | Jean C Schulman |
First Address | Peoria, AZ 85381-4846 |
Second Address | Peoria, AZ 85381-4846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 24/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
267676 | (05) | AZ |
E52308 | (02) | AZ |