Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 14175 | AZ |
NPI | 1437101755 |
---|---|
Provider Name | Jonathan Schwartz |
First Address | Tucson, AZ 85718-5999 |
Second Address | Tucson, AZ 85712-2268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 03/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
267931 | (05) | AZ |
D44474 | (02) | AZ |