Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 11633 | NV |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 39537 | CO |
NPI | 1275525453 |
---|---|
Provider Name | Joel Schwartz |
First Address | Las Vegas, NV 89148-4858 |
Second Address | Las Vegas, NV 89148-4858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 01/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
57906700 | (05) | CO |