MEDICARE: DR. WILLIAM G SCHWARK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	11875	AZ

General Provider Information

NPI Number	:	1063419661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM G SCHWARK MD

Provider Business Mailing Address
First Line	:	13951 N SCOTTSDALE RD
Second Line	:	SUITE 211
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-3402
Country	:	US
Telephone Number	:	480-609-9300
Fax Number	:	480-609-9350

Provider Business Practice Location Address
First Line	:	19636 N 27TH AVE
Second Line	:	SUITE 106
City	:	PHOENIX
State	:	AZ
Zip	:	85022
Country	:	US
Telephone Number	:	480-609-9300
Fax Number	:	480-609-9350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/08/2007

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