Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | 163306 | CA |
Y | 207YP0228X | Pediatric Otolaryngology | 61135 | AZ |
NPI | 1356994859 |
---|---|
Provider Name | Patrick Scheffler |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85006-1462 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2019 |
Last Update Date | 10/12/2020 |