MEDICARE: JAMES P. SCHLICHTING, D.O., PLLC

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	2084N0400X	Neurology Physician	2769	AZ

General Provider Information

NPI Number	:	1598753659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES P. SCHLICHTING, D.O., PLLC

Provider Business Mailing Address
First Line	:	1134 E UNIVERSITY DR
Second Line	:	STE 114
City	:	MESA
State	:	AZ
Zip	:	85203-8048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1134 E UNIVERSITY DR
Second Line	:	STE 114
City	:	MESA
State	:	AZ
Zip	:	85203-8048
Country	:	US
Telephone Number	:	480-834-9575
Fax Number	:	480-834-4497

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	JAMES P SCHLICHTING
Credential	:	DO
Telephone Number	:	480-834-9575

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	08/22/2020

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