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NPI Code Detail

MEDICARE: MR. TODD CHRISTOPHER SCHMIDT PA-C

MEDICARE: MR. TODD CHRISTOPHER SCHMIDT PA-C
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
1363AS0400XSurgical Physician Assistant2003023668MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1610659OTHERMOHEALTHLINK

General Provider Information

NPI Number : 1609855238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TODD CHRISTOPHER SCHMIDT PA-C
Provider Business Mailing Address
First Line : 13 OAK VALLEY DR
Second Line :
City : WASHINGTON
State : MO
Zip : 63090-5659
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 S KIRKWOOD RD
Second Line : SUITE 120
City : SAINT LOUIS
State : MO
Zip : 63122-7254
Country : US
Telephone Number : 314-966-8887
Fax Number : 314-966-3869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/09/2007

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