Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 036082038 | IL |
N | 207RP1001X | Pulmonary Disease | R2B77 | MO |
N | 207RS0012X | Sleep Medicine | 036082038 | IL |
Y | 207RS0012X | Sleep Medicine | R2B77 | MO |
NPI | 1003807314 |
---|---|
Provider Name | Oscar A Schwartz |
First Address | Saint Louis, MO 63141-8573 |
Second Address | Saint Louis, MO 63141-6338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 12/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201566726 | (05) | MO |
A14097 | (02) |